NPI | 1407159841 |
---|---|
Doing Business As | CHILD AND FAMILY GUIDANCE CLINIC |
Doing Business As | DIXWELL BEHAVIORAL HEALTH |
Doing Business As | DIXWELL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | SOL MARIA GONZALEZ Credentialing Specialist 203-503-3174 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CT 0518) |
Enumeration Date | 2010-12-07 |
Last Update Date | 2020-04-30 |