| NPI | 1104803444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE LAGARDE CEO 203-777-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 1223G0001X Dentist, General Practice | |
| 176B00000X Midwife | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2014-10-30 |