Organization Name: | STRENGTH AND BALANCE, LLC |
NPI Number: | 1063802684 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HEIDI S FRIEDLAND (LICENSED CLINICAL SOCIAL WORKER) |
Mailing Address: | 45 S Main St Suite 107 West Hartford |
State: | CT US |
Postal Code: | 061072441 |
Phone Number: | 8604020066 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2015 |
NPI Last Update Date: | 02/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | 03785898 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |