Organization
HERMANAS UNITED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARLINE COSME MA MFT (CHIEF OFFICER/PRESIDENT)
(860) 372-5402
Entity
Organization
Contact information
Practice address
73 WILLOW ST, WETHERSFIELD, CT 06109-2710
(860) 372-5402
Mailing address
73 WILLOW STREET, WETHERSFIELD, CT 06109
(860) 372-5402
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
870853
CT
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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