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Organization

CTC FAIRFIELD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALBERT SHKLYAR (ADMINSTRATOR)
(516) 343-2772
Entity
Organization

Contact information

Practice address
101 SOUTH CROSS ST., WEST UNION, OH 45693-1208
(740) 351-9298
(740) 529-0553
Mailing address
96 LINWOOD PLZ STE 303, FORT LEE, NJ 07024-3701
(740) 351-9298
(740) 529-0553

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
12/30/2024
Last updated
02/26/2026
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