Organization
LATIN ENRICHMENT ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANI MARTINEZ LMFTA (OUTPATIENT CLINICIAN)
(860) 249-0975
Entity
Organization
Contact information
Practice address
54 FOREST ST, HARTFORD, CT 06105-3204
(860) 249-0975
(860) 249-0975
Mailing address
54 FOREST ST, HARTFORD, CT 06105-3204
(860) 249-0975
(860) 249-0975
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
05/24/2023
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