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Organization
MEDITOX CARE, LLC
Active
Organization
MEDITOX CARE, LLC
Active
Other names
Elevate Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ELSAMRA MD (OWNER AND MANAGER)
(203) 450-4882
Entity
Organization
Contact information
Practice address
179 POST RD W, WESTPORT, CT 06880-4602
(203) 450-4882
(866) 505-8927
Mailing address
179 POST RD W, WESTPORT, CT 06880-4602
(203) 450-4882
(866) 505-8927
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/09/2016
Last updated
08/03/2022
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