Organization
EBONY HORSEWOMEN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA ELAINE KELLY (PRESIDENT/CEO)
(860) 293-2914
Entity
Organization
Contact information
Practice address
337 VINE ST, HARTFORD, CT 06112-2028
(860) 293-2914
(860) 293-0039
Mailing address
337 VINE STREET, HARTFORD, CT 06112
(860) 293-2914
(860) 293-0039
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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