# FAIRFIELD COUNTY HEALTH & WELLNESS SERVICES II LLC

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

## Provider details

- **NPI number:** 1811426695
- **Authorized official:** PROF. CARINE JEAN MD (OWNER/MD)
- **Authorized official phone:** (203) 671-3587

## Contact information

- **Practice address:** 325 REEF ROAD/SUITE 109, FAIRFIELD, CT 06824
- **Practice address phone:** (203) 955-1821
- **Practice address fax:** (203) 955-1823
- **Mailing address:** 21 MAPLE RIDGE RD, TRUMBULL, CT 06611-5522
- **Mailing address phone:** (203) 671-3587
- **Mailing address fax:** (203) 671-3587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | 033954 | CT | Yes |
| 2084P0802X | Addiction Psychiatry Physician | 033954 | CT | — |
| 261QM0850X | Adult Mental Health Clinic/Center | 033954 | CT | — |

## Other

- **Enumeration date:** 06/06/2017
- **Last updated:** 06/06/2017