| NPI | 1801573944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA A STEWART CEO 203-778-2437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |