| NPI | 1841750122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA MORROW Revenue Cycle Manager 203-629-2822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |