| NPI | 1922586809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY A PFEIFFER Director 860-553-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CT 3886) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |