Organization
TENACIOUS RESILIENT INDIVIDUAL LIVING IN FOCUSED ENERGY WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL SANDOVAL (OWNER)
(860) 916-0801
Entity
Organization
Contact information
Practice address
19 SEXTON ST, NEW BRITAIN, CT 06051-1017
(860) 916-0801
Mailing address
19 SEXTON ST, NEW BRITAIN, CT 06051-1017
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
12/05/2024
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