| NPI | 1972954477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J ANDERSON Ap RN 860-245-4126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2024-03-21 |