| NPI | 1952426330 |
|---|---|
| Doing Business As | SCHOOL BASED HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIAM EVANS Director Of Health 203-576-7680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |