Organization
FAIR HAVEN COMMUNITY HEALTH CLINIC, INC
Active
Other names
FAIR HAVEN COMMUNITY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE P LAGARDE MD (CEO)
(203) 777-7411
Entity
Organization
Contact information
Practice address
426 EAST ST, NEW HAVEN, CT 06511-5018
(203) 777-7411
(203) 777-8506
Mailing address
374 GRAND AVE, NEW HAVEN, CT 06513-3733
(203) 777-7411
(203) 777-8506
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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