FAIR HAVEN COMMUNITY HEALTH CLINIC INC. (Credential# 929000) is licensed (Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is October 18, 2004. The license expiration date date is September 30, 2008. The license status is INACTIVE.
FAIR HAVEN COMMUNITY HEALTH CLINIC INC. is licensed with the Department of Consumer Protection of Connecticut. The credential number is #OPC.0000407. The credential type is outpatient clinic. The effective date is October 18, 2004. The expiration date is September 30, 2008. The business address is 130b Leederhill Drive, Hamden, CT 06517. The current status is inactive.
| Licensee Name | FAIR HAVEN COMMUNITY HEALTH CLINIC INC. |
| Business Name | FAIR HAVEN COMMUNITY HEALTH CLINIC INC. |
| Doing Business As | SCHOOL BASED HEALTH CENTER AT CLINTON AVENUE SCHOOL |
| Credential ID | 929000 |
| Credential Number | OPC.0000407 |
| Credential Type | Outpatient Clinic |
| Business Address |
130b Leederhill Drive Hamden CT 06517 |
| Business Type | BUSINESS |
| Status | INACTIVE |
| Issue Date | 2004-10-18 |
| Effective Date | 2004-10-18 |
| Expiration Date | 2008-09-30 |
| Refresh Date | 2010-05-18 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fair Haven Community Health Clinic Inc. · Fair Haven K-8 School Based Health Center | 164 Grand Ave, New Haven, CT 06513-3938 | Outpatient Clinic | 2016-10-01 ~ 2020-09-30 |
| Fair Haven Community Health Clinic Inc. · Fair Haven Community Health Ctr/body Shop/clinton | 293 Clinton Avenue, New Haven, CT 06513 | Outpatient Clinic | 2003-07-01 ~ 2005-06-30 |
| Fair Haven Community Health Clinic Inc. · Fair Haven Community Health Center | 374 Grand Ave, New Haven, CT 06513-3733 | Outpatient Clinic | 2016-10-01 ~ 2020-09-30 |
| Fair Haven Community Health Clinic Inc. | 374 Grand Ave, New Haven, CT 06513 | Public Charity-exempt From Financial Requirements | 2010-11-02 ~ |
| Street Address | 130B Leederhill Drive |
| City | Hamden |
| State | CT |
| Zip Code | 06517 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
| Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
| Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06517 | |||
| City | Hamden |
| Zip Code | 06517 |
| License Type | Outpatient Clinic |
| License Type + County | Outpatient Clinic + Hamden |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fair Haven Community Health Center Inc. · The Body Shop At Fair Haven Middle School | 130-b Leederhill Avenue, Hamden, CT 06517 | Outpatient Clinic | 2003-10-01 ~ 2005-09-30 |
| Fair Haven Community Health Care At Columbus Family Academy · Fair Haven Community Health Clinic, Inc. | 255 Blatchley Ave, New Haven, CT 06513-3509 | Outpatient Clinic | 2019-09-19 ~ 2022-09-30 |
| Fair Haven Community Health Center At Maas · Fair Haven Community Health Care At Maas | 426 East Street, New Haven, CT 06511 | Outpatient Clinic | 2016-05-16 ~ 2020-03-31 |
| Fair Haven Community Health Center At Bh Care · Fair Haven Community Healthcenter At Bh Care | 14 Sycamore Way, Branford, CT 06405 | Outpatient Clinic | 2017-11-20 ~ 2021-12-31 |
| Fair Haven Community Health Center, Smiles 2 Go | 60 Commerce St, East Haven, CT 06512-4145 | Outpatient Clinic | 2018-01-01 ~ 2020-12-31 |
| Fair Haven Community Health Care At 50 Grand | 50 Grand Ave, New Haven, CT 06513-3949 | Psychiatric Outpatient Clinic | 2019-10-01 ~ 2023-09-30 |
| Fair Haven Community Health Care At Columbusfamily Academy · Fair Haven Community | CT | Outpatient Clinic | ~ |
| Fair Haven Community Health Care At East Haven | 346 Hemingway Ave, East Haven, CT 06512-2317 | Outpatient Clinic | 2020-04-01 ~ 2023-03-31 |
| Fair Haven Community Health Center At Bella Vista | 339 Eastern St, New Haven, CT 06513-2463 | Outpatient Clinic | 2016-10-01 ~ 2020-09-30 |
| Fair Haven Community Health Center Body Shop At Riverside Academy | 560 Ella T Grasso Blvd Ste 3, New Haven, CT 06519-1827 | Outpatient Clinic | 2014-04-01 ~ 2018-03-31 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).