| Ebony Horsewomen, Inc | |
|
337 Vine St Hartford CT 06112-2028 | |
| (860) 293-2914 | |
| (860) 293-0039 |
| Full Name | Ebony Horsewomen, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 337 Vine St, Hartford, Connecticut |
| Authorized Official Name and Position | Patricia Elaine Kelly (PRESIDENT/CEO) |
| Authorized Official Contact | 8602932914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebony Horsewomen, Inc 337 Vine Street Hartford CT 06112 Ph: (860) 293-2914 | Ebony Horsewomen, Inc 337 Vine St Hartford CT 06112-2028 Ph: (860) 293-2914 |
| NPI Number | 1518397306 |
|---|---|
| Provider Enumeration Date | 11/15/2013 |
| Last Update Date | 11/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518397306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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