NPI | 1760877864 |
---|---|
Former Legal Business Name | EAST HARTFORD COMMUNITY HEALTHCARE, INC. |
Entity Type | Organization |
Authorized Contact | EUGENE A MARKET CEO 860-610-6131 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CT 0707) |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CT 0707) |
Enumeration Date | 2015-04-06 |
Last Update Date | 2016-07-01 |