| NPI | 1346228905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARVIND SHAW Chief Executive Officer 860-450-7456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CT 0228) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: CT 0228) |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CT 0404) | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CT 0374) | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CT .321) | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CT 0467) | |
| 261QH0100X Clinic/Center, Health Services (Licence: CT 0228) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 0467) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2012-04-18 |