Fair Haven Community Health Clinic, INC
NPI #1568832640 in East Haven, Connecticut
Provider Information
- NPI Number
- 1568832640
- Entity Type
- Organization
- Organization Name
- Fair Haven Community Health Clinic, INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Oct 1, 2015
- Last Updated
- Feb 22, 2016
Practice Location
- Address
- 370 HEMINGWAY AVE
- City
- East Haven
- State
- Connecticut
- ZIP Code
- 06512-3240
- Phone
- (203) 777-7411
Authorized Official
- Name
- MRS. SUZANNE PAULA LAGARDE, MD
- Title
- CEO
- Phone
- (203) 777-7411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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