| NPI | 1710111265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYRE J ROY Manager/Owner 860-584-5484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: CT 000360) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |