| 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 |