| NPI | 1902298193 |
|---|---|
| Doing Business As | LEO BEHAVIORAL HEALTH |
| Other Name | LEO PRIMARY CARE |
| Doing Business As | LEO CLINIC |
| Doing Business As | L.E.O. CLINIC |
| Entity Type | Organization |
| Authorized Contact | CARLOS MARRERO Executive Director 860-249-0975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 85) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2022-11-08 |