NPI | 1609142678 |
---|---|
Doing Business As | FAIRGATE COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | LUDWIG SPINELLI CEO 203-696-3260 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CT 0619) |
Enumeration Date | 2012-03-23 |
Last Update Date | 2017-06-27 |