| NPI | 1629217286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HRBEK Director 203-227-7644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251S00000X (Licence: CT 0373) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2018-10-31 |