Organization
THE URBAN LIGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA C KING M.ED (OWNER)
(860) 994-3131
Entity
Organization
Contact information
Practice address
46 STRONG ST, MANCHESTER, CT 06042-3110
(860) 994-3131
Mailing address
46 STRONG ST, MANCHESTER, CT 06042-3110
(860) 994-3131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/07/2020
Last updated
05/02/2022
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