Organization
LATIN ENRICHMENT ORGANIZATION LLC
Active
Other names
LEO Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS MARRERO MSW, ACSW (DIRECTOR)
(860) 249-0975
Entity
Organization
Contact information
Practice address
54 FOREST ST, HARTFORD, CT 06105-3204
(860) 249-0975
Mailing address
PO BOX 380322, EAST HARTFORD, CT 06138-0322
(860) 249-0975
(860) 249-0975
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
01/04/2021
Last updated
05/18/2023
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