| NPI | 1730486804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH SARGENT HAVEMEYER Owner 203-757-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: CT 004663) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2020-05-13 |