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 | |
Enumeration Date | 2015-02-24 |
Last Update Date | 2022-11-08 |