| NPI | 1689555989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINSTON ROSARIO Owner 860-249-0975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2025-09-11 |