Organization
TENACITY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY OTTO APRN (MANAGER)
(860) 713-3637
Entity
Organization
Contact information
Practice address
127 WESTBOURNE PKWY, HARTFORD, CT 06112-1735
(860) 713-3637
Mailing address
2389 MAIN ST, GLASTONBURY, CT 06033-4617
(860) 713-3637
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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