NPI | 1770932642 |
---|---|
Former Legal Business Name | EAST HARTFORD COMMUNITY HEALTH CARE, INC |
Entity Type | Organization |
Authorized Contact | EUGENE A MARKET Chief Executive Officer 860-610-6131 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CT 0612) |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: CT 0612) |
261QM0850X Clinic/Center Adult Mental Health (Licence: CT 0612) | |
261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CT 0506) | |
Enumeration Date | 2016-06-10 |
Last Update Date | 2017-03-16 |