| NPI | 1043679863 |
|---|---|
| Doing Business As | FAIR HAVEN COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | SUZANNE P LAGARDE CEO 203-777-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |