| NPI | 1750535985 |
|---|---|
| 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 0479) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2011-12-30 |