| NPI | 1992962948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN S PHILLIPS Executive Director 203-269-1475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CT 0605) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |