Latoya C Watson. LLC
Community/Behavioral Health in West Hartford, CT. Organization (NPI-2).
NPI number1801286992
StatusActive
Last updated in NPPESJan 28, 2015
Details
- NPI
- 1801286992
- Entity type
- Organization (NPI-2)
- Legal business name
- Latoya C Watson. LLC
- Organization subpart
- No
- Enumeration date
- Jan 28, 2015
- Last updated
- Jan 28, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 008667 | CT | Yes |
Other names
- Evolve Behavioral Health (Doing Business As)
Practice location
45 S Main StSuite 107
West Hartford, CT 06107-2441
Phone 860-890-4062
Mailing address
45 S Main StSuite 107
West Hartford, CT 06107-2441
Authorized official
Latoya Cynthia Watson
Owner
8608904062
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