| NPI | 1578866364 |
|---|---|
| Doing Business As | GRANT STREET PARTNERSHIP AT WEST HAVEN |
| 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 | 2010-12-16 |
| Last Update Date | 2022-10-13 |