Organization
MANO-EN-MANO HAND IN HAND,LLC
Active
Other names
Mano-En-Mano Hand in Hand,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN REXACH LADC (CEO)
(860) 634-2514
Entity
Organization
Contact information
Practice address
843 MAIN ST STE 10, MANCHESTER, CT 06040-6041
(860) 634-2514
Mailing address
1206 STORRS RD # 101, STORRS MANSFIELD, CT 06268-2251
(860) 634-2514
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215304746
—
CT
Enumeration date
06/26/2019
Last updated
06/26/2019
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