Organization
WELLMORE, INC
Active
Organization
WELLMORE, INC
Active
Other names
Wellmore, Inc.-Therapeutic Shelter
Organization subpart
No
Provider details
NPI number
Authorized official
GARY STECK LMFT (CHIEF EXECUTIVE OFFICER)
(203) 574-9000
Entity
Organization
Contact information
Practice address
142 GRIGGS ST, WATERBURY, CT 06704-3110
(203) 574-1419
(203) 578-4180
Mailing address
141 E MAIN ST, WATERBURY, CT 06702-1701
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004039202
—
CT
Enumeration date
05/02/2012
Last updated
06/11/2014
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