Organization
THE VILLAGE FOR FAMILIES AND CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUZ MERCEDES LOPEZ MS (CLINICIAN)
(860) 236-4511
Entity
Organization
Contact information
Practice address
331 WETHERSFIELD AVE, HARTFORD, CT 06114-1420
(860) 236-4511
Mailing address
331 WETHERSFIELD AVE, HARTFORD, CT 06114-1420
(860) 236-4511
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/13/2011
Last updated
04/13/2012
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