NPI | 1942574082 |
---|---|
Doing Business As | INTEGRATED CARE CLINIC |
Entity Type | Organization |
Authorized Contact | LUDWIG SPINELLI CEO 203-696-3260 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CT 0606) |
Enumeration Date | 2012-03-07 |
Last Update Date | 2012-03-07 |