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Organization

THE GREEN THERAPEUTIC CENTER

Active
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Organization

THE GREEN THERAPEUTIC CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEON G GREEN LCSW (MANAGING MEMBER)
(860) 938-1208
Entity
Organization

Contact information

Practice address
41 MECHANIC ST, WINDSOR, CT 06095-2545
(860) 780-2456
Mailing address
2550 ALBANY AVE # 1174, WEST HARTFORD, CT 06117-2335
(860) 938-1208

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
01/30/2024
Last updated
01/30/2024
About Stedi
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  • EDI platform