| NPI | 1679212179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEGRA LE Owner 860-869-4997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2023-01-06 |