| NPI | 1669874855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE A MARKET CEO 860-610-6131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CT 0734) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2016-07-01 |