NPI | 1245521970 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN GRIMAUD CEO 860-482-3038 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CT Pending) |
Enumeration Date | 2011-04-28 |
Last Update Date | 2011-04-28 |