| NPI | 1912193418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO MCBRIDE-BEECE Director Of Out Patient Services 203-792-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CT CAC 4070) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |