| NPI | 1649485194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUI MUI HIN-MCCORMICK Clinical Director 860-951-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CT 0294) |
| Additional Taxonomies | 251S00000X (Licence: CT 0356) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |