| NPI | 1619165792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MORREN President 860-443-7907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 000073) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |