Organization
ALIS VOLAT PROPRIIS PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN L HURLEY LCSW (FOUNDING MEMBER/THERAPIST)
(917) 232-5887
Entity
Organization
Contact information
Practice address
705 BOSTON POST RD STE 2A, GUILFORD, CT 06437-2744
(203) 293-2005
Mailing address
705 BOSTON POST RD STE 2A, GUILFORD, CT 06437-2744
(203) 293-2005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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