| NPI | 1730284605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY STANTON CEO 860-249-9625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CT 0293) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 0293) |
| 261QD0000X Clinic/Center Dental (Licence: CT 0293) | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: CT 299) | |
| 367A00000X Advanced Practice Midwife (Licence: CT 0293) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2013-09-16 |