| NPI | 1891985610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WESTRUP President 203-856-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CT 2050) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-07-27 |