Graduated: 2004
NPI: 1104999291
Practice Locations (3)
CONNECTICUT INSTITUTE FOR COMMUNITIES INC
120 MAIN ST
DANBURY, CT 068107834
2037439760
CHARTER OAK HEALTH CENTER, INC
21 GRAND ST
Hartford, CT 061061541
CHARTER OAK HEALTH CENTER, INC
21 GRAND ST
HARTFORD, CT 061061541
8605507500
Source: CMS National Downloadable File, September 2026.