| NPI | 1811372469 |
|---|---|
| Doing Business As | FAIR HAVEN COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | SUZANNE LAGARDE CEO 203-777-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 124Q00000X Dental Hygienist | |
| 261QD0000X Clinic/Center, Dental | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |