NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1457502924 |   |   |   | 97 PRESTON ROAD OPERATIONS LLC | 97 PRESTON RD | GRISWOLD | CT | 063512516 |
1558330167 |   |   |   | HAVEN HEALTH CENTER OF JEWETT CITY, LLC | 97 PRESTON RD | JEWETT CITY | CT | 063512516 |