institution
Fair Haven Community Health Clinic Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) in New Haven, Connecticut
NPI 1871770768

Fair Haven Community Health Clinic Inc. is a Mental Health Clinic/Center (Including Community Mental Health Center) based in New Haven, CT and is specialized in Mental Health (Including Community Mental Health Center). Fair Haven Community Health Clinic Inc. practices in New Haven, CT. The NPI Number for Fair Haven Community Health Clinic Inc. is 1871770768 and holds a License No. 0722 (Connecticut).

The current practice location address for Fair Haven Community Health Clinic Inc. is 339 Eastern St, New Haven, CT and can be reached out via phone at 203-777-7411 and via fax at 203-777-8506. You can also correspond with Fair Haven Community Health Clinic Inc. through the mailing address at 374 GRAND AVE, NEW HAVEN, CT - 06513-3733 (mailing address contact number: 203-777-7411).

Location: 339 Eastern St, New Haven, CT, 06513-3733
institution
Provider Profile Details
NPI Number
1871770768
Provider Name
Fair Haven Community Health Clinic Inc.
Credential
Provider Entity Type
Organization
Address
339 Eastern St, New Haven, CT, 06513-3733
Phone Number
203-777-7411
Fax Number
203-777-8506
Provider Enumeration Date
01/23/2008
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
004235736 05 CT
institution
Provider Business Practice Location Address Details
Address
339 Eastern St
City
State
Zip
06513-2463
Phone Number
203-777-7411
Fax Number
203-777-8506
person
Provider Business Mailing Address Details
Address
339 Eastern St
City
State
Zip
06513-2463
Phone Number
203-777-7411
Fax Number
203-777-8506
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
0533 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
0009 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
0722 (Connecticut)
Definition
Definition to come...
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