| NPI | 1821490004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HOPE ROSS CEO 860-268-3439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-11-06 |