| NPI | 1619485166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA LYNN MILLER Co Owner 203-804-2949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QA0600X Clinic/Center Adult Day Care |
| 261QR0400X Clinic/Center Rehabilitation | |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |