| NPI | 1699193292 |
|---|---|
| Former Legal Business Name | EAST HARTFORD COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | EUGENE MARKET President & CEO 860-610-6131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CT 0724) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 0724) |
| 261QP1100X Clinic/Center, Podiatric (Licence: CT 0724) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: CT 0724) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CT 0502) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2017-02-07 |