| NPI | 1154342335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD THOMPSON President & CEO 203-756-8021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 261QD0000X Clinic/Center, Dental (Licence: CT 0360) | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 0736) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-01-09 |