NPI | 1710148440 |
---|---|
Doing Business As | CHARTER OAK HEALTH CENTER AT CCMC |
Entity Type | Organization |
Authorized Contact | ALFREDA TURNER President And CEO 860-550-7500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CT 00000259) |
Enumeration Date | 2008-06-25 |
Last Update Date | 2008-12-05 |