| NPI | 1386853182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA BOISSEVAIN Health Director 203-385-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Additional Taxonomies | 261QP0905X Clinic/Center Public Health, State or Local |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2023-11-08 |