Provider Demographics
NPI:1346829710
Name:EL HOGAR HISPANO DE TERAPIA, LLC
Entity Type:Organization
Organization Name:EL HOGAR HISPANO DE TERAPIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:M
Authorized Official - Last Name:FIGUEROA-CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LADC
Authorized Official - Phone:203-237-0937
Mailing Address - Street 1:PO BOX 1184
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06050-1184
Mailing Address - Country:US
Mailing Address - Phone:203-237-0937
Mailing Address - Fax:
Practice Address - Street 1:97 E MAIN ST # 2GH
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-5693
Practice Address - Country:US
Practice Address - Phone:203-237-0937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-05
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty