Organization
ARPSYCHOTHERAPY
Active
Organization
ARPSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTINA RUEDA LCSW (THERAPIST)
(917) 376-7792
Entity
Organization
Contact information
Practice address
270 GREENWICH AVE, GREENWICH, CT 06830-6530
(917) 376-7792
Mailing address
270 GREENWICH AVE, GREENWICH, CT 06830-6530
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10167
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558611319
NPI
NY
Enumeration date
03/12/2018
Last updated
03/12/2018
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