Fair Haven Community Health Clinic, INC
NPI #1588263016 in New Haven, Connecticut
Provider Information
- NPI Number
- 1588263016
- Entity Type
- Organization
- Organization Name
- Fair Haven Community Health Clinic, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FAIR HAVEN COMMUNITY HEALTH CLINIC, INC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Oct 26, 2020
- Last Updated
- Oct 26, 2020
Practice Location
- Address
- 150 SARGENT DR STE 1-300
- City
- New Haven
- State
- Connecticut
- ZIP Code
- 06511-6100
- Phone
- (203) 777-7411
Authorized Official
- Name
- YOLYMAR HERRERA
- Title
- CREDENTIALING MANAGER
- Phone
- (203) 777-7411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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