| NPI | 1295054419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CONNELLY Program Director 203-276-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |