| NPI | 1558804070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE A MARKET Chief Executive Officer 860-610-6131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CT 0783) |
| Additional Taxonomies | 261QF0050X Clinic/Center Family Planning, Non-Surgical |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |