Organization
NAUGATUCK VALLEY COUNSELING AND MED MANAGEMENT
Active
Other names
Restart Health and Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ELSAMRA MD (OWNER)
(203) 518-8218
Entity
Organization
Contact information
Practice address
276 HIGHLAND AVE STE 2, WATERBURY, CT 06708-3022
(203) 518-8218
(844) 833-5610
Mailing address
19 ELLIS RD, EAST HAVEN, CT 06512-4627
(203) 518-8218
(844) 833-5610
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/03/2019
Last updated
03/10/2020
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