| NPI | 1770783326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHERMAN CEO 860-808-8701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CT 0220) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |