| NPI | 1871381202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MCDADE Medical Director 860-518-4790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Enumeration Date | 2025-04-26 |
| Last Update Date | 2025-11-13 |