Organization
GOLD COAST RESIDENCE AND SERVICES COMPANY
Active
Other names
Gold Coast Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BARSTOW (CEO)
(203) 952-7237
Entity
Organization
Contact information
Practice address
49 DAY ST APT 213, NORWALK, CT 06854-4903
(203) 952-7237
Mailing address
49 DAY ST APT 213, NORWALK, CT 06854-4903
(203) 952-7237
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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