| NPI | 1588358774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY STEELE President/CEO 860-610-6191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |