| NPI | 1245122522 |
|---|---|
| Doing Business As | FAIR HAVEN COMMUNITY HEALTH CARE AT 424 CHAPEL |
| Entity Type | Organization |
| Authorized Contact | BAIN PATRIE Credentialing Manager 203-777-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-07-19 |
| Last Update Date | 2025-07-19 |