# OCEANSIDE RECOVERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740578830
- **Authorized official:** NEIL GAER (CONSULTANT)
- **Authorized official phone:** (860) 324-9313

## Contact information

- **Practice address:** 23 CHURCH LN, EAST LYME, CT 06333-1621
- **Practice address phone:** (860) 691-0873
- **Practice address fax:** (860) 691-0876
- **Mailing address:** 23 CHURCH LN, EAST LYME, CT 06333-1621
- **Mailing address phone:** (860) 691-0873
- **Mailing address fax:** (860) 691-0876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 003399 | CT | Yes |

## Other

- **Enumeration date:** 07/11/2011
- **Last updated:** 04/14/2023