| NPI | 1932342938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE I WALKER Owner 860-683-0068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CT 028638) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |