| Shoreline Therapy Center Of Southwest Ct Llc | |
|
120 Post Rd W Ste 301 Westport CT 06880-4206 | |
| (203) 499-7890 | |
| Not Available |
| Full Name | Shoreline Therapy Center Of Southwest Ct Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 120 Post Rd W Ste 301, Westport, Connecticut |
| Authorized Official Name and Position | Alexander Klein (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2034997890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Therapy Center Of Southwest Ct Llc 120 Post Rd W Ste 301 Westport CT 06880-4206 Ph: () - | Shoreline Therapy Center Of Southwest Ct Llc 120 Post Rd W Ste 301 Westport CT 06880-4206 Ph: (203) 499-7890 |
| NPI Number | 1851081780 |
|---|---|
| Provider Enumeration Date | 05/12/2023 |
| Last Update Date | 05/13/2023 |
| Certification Date | 05/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851081780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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