| NPI | 1093186660 |
|---|---|
| Doing Business As | FAIRFIELD STREET HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | PAMELA Y PARSONS Chief Executive Officer 802-255-5561 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2016-03-02 |