NPI | 1215518733 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY STEELE President & CEO 860-610-6191 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-04-16 |
Last Update Date | 2021-04-16 |