NPI | 1962884395 |
---|---|
Doing Business As | FIRST CHOICE @ CHR MANCHESTER |
Entity Type | Organization |
Authorized Contact | EUGENE A MARKET CEO 860-610-6131 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CT 0816) |
Enumeration Date | 2015-06-22 |
Last Update Date | 2017-01-31 |