NPI | 1568832640 |
---|---|
Doing Business As | FAIR HAVEN COMMUNITY HEALTH CENTER EAST |
Entity Type | Organization |
Authorized Contact | SUZANNE PAULA LAGARDE CEO 203-777-7411 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
261QM0801X | |
Enumeration Date | 2015-10-01 |
Last Update Date | 2016-02-22 |