| NPI | 1669629911 |
|---|---|
| Other Name | STAYWELL/SALVATION ARMY |
| Entity Type | Organization |
| Authorized Contact | DONALD THOMPSON President 203-756-8021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |