| NPI | 1730378936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ANN DLUGOKECKI Owner 203-525-9439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CT 000022) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2011-03-25 |