| NPI | 1841735859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN YOUNG Physician/Owner 860-533-0179 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CT 000397) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 55300) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |