| Latin Enrichment Organization | |
|
54 Forest St Hartford CT 06105-3204 | |
| (860) 249-0975 | |
| (860) 249-0975 |
| Full Name | Latin Enrichment Organization |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 54 Forest St, Hartford, Connecticut |
| Authorized Official Name and Position | Tiffani Martinez (OUTPATIENT CLINICIAN) |
| Authorized Official Contact | 8602490975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latin Enrichment Organization 54 Forest St Hartford CT 06105-3204 Ph: (860) 249-0975 | Latin Enrichment Organization 54 Forest St Hartford CT 06105-3204 Ph: (860) 249-0975 |
| NPI Number | 1740920859 |
|---|---|
| Provider Enumeration Date | 03/29/2022 |
| Last Update Date | 05/24/2023 |
| Certification Date | 05/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740920859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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