Organization
GREY BROOK ASSOCIATES, LLC
Active
Other names
Shoreline Spectrum
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RACHAEL D STOWE (MEMBER)
(203) 231-4588
Entity
Organization
Contact information
Practice address
377 MAIN STREET, C/O SHORELINE CENTER, WEST HAVEN, CT 06483
(203) 231-4588
Mailing address
310 ROOSEVELT DR, SEYMOUR, CT 06483-2121
(203) 231-4588
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/13/2018
Last updated
06/03/2019
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