| NPI | 1770886004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LANCI Ceritfied Medical Billing Speaciali 860-343-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |