| NPI | 1780330688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN GRAWERT Chief Medical Officer 203-779-5799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2024-09-11 |