| NPI | 1699179341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY P JACKSON President 203-962-2995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: ND00001 Federal Lic) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |