Fair Haven Community Health Clinic Inc. in New Haven - Mental Health (including Community Mental Health Center)
Fair Haven Community Health Clinic Inc. - NPI 1871770768
Fair Haven Community Health Clinic Inc. is a Mental Health (including Community Mental Health Center) in New Haven, Connecticut. Fair Haven Community Health Clinic Inc. practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Fair Haven Community Health Clinic Inc. is 1871770768. The last update date is 2016-02-11.
Fair Haven Community Health Clinic Inc.'s current location address is 374 Grand Ave, New Haven, Connecticut. You can contact this provider via phone number 2037777411 and fax number 2037778506. The mailing address for Fair Haven Community Health Clinic Inc. is 374 Grand Ave, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fair Haven Community Health Clinic Inc. |
|---|---|
| Address | 374 Grand Ave, New Haven, Connecticut |
| Phone Number | 2037777411 |
| Fax Number | 2037778506 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Lagarde P Suzanne |
| Credentials | M.D. |
| Telephone Number | 2037525129 |
NPI Number Detail
| NPI Number | 1871770768 |
|---|---|
| Provider Enumeration Date | 2008-01-23 |
| Last Updated Date | 2016-02-11 |
Provider Mailing Address Detail
| Address | 374 Grand Ave |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65133733 |
| Phone Number | 2037777411 |
| Fax Number | 2037778506 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
| Licence No | 533 |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4235736 | CT | -- |
Post Comment/ Review Below
What is the Fair Haven Community Health Clinic Inc.'s unique identification number?
The Fair Haven Community Health Clinic Inc. has been assigned the NPI (National Provider Identifier) Number 1871770768 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Fair Haven Community Health Clinic Inc.'s physical address?
The Fair Haven Community Health Clinic Inc. is physically located at 374 Grand Ave, in the city of New Haven, CT, with the postal code 65133733.
What is Fair Haven Community Health Clinic Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Fair Haven Community Health Clinic Inc. is Mental Health (including Community Mental Health Center), and the taxonomy code that categorizes this field of expertise is 261Qm0801X.
On what date was the 1871770768 assigned to Fair Haven Community Health Clinic Inc.?
The Fair Haven Community Health Clinic Inc. was issued its 1871770768 on 2008-01-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Fair Haven Community Health Clinic Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Fair Haven Community Health Clinic Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-02-11.
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