# THE LATIN ENRICHMENT ORGANIZATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LEO Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982290714
- **Authorized official:** CARLOS MARRERO MSW, ACSW (CLINIC DIRECTOR)
- **Authorized official phone:** (860) 249-0975

## Contact information

- **Practice address:** 54 FOREST ST, HARTFORD, CT 06105-3204
- **Practice address phone:** (860) 249-0975
- **Practice address fax:** (860) 249-0975
- **Mailing address:** PO BOX 380322, HARTFORD, CT 06138-0322
- **Mailing address phone:** (860) 249-0975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | — |
| 207QA0505X | Adult Medicine Physician | — | NULL | — |
| 207QA0505X | Adult Medicine Physician | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/16/2020
- **Last updated:** 02/24/2021