| NPI | 1659641363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUDWIG SPINELLI Chief Executive Officer 203-696-3260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CT 0214) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-04-20 |