NPI | 1932438553 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON BENEDICT Executive Director 860-343-0402 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2009-12-10 |
Last Update Date | 2023-07-12 |