| NPI | 1235485236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUDWIG SPINELLI CEO 203-696-3260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CT 0592) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |