| NPI | 1770886087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LANCI Medical Biling Speacialist 860-343-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 261QM0850X) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |