Organization
SHORELINE COUNSELING GROUP,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASSAM AWWA (OWNER)
(860) 449-0200
Entity
Organization
Contact information
Practice address
616 GOLD STAR HWY, GROTON, CT 06340-6221
(860) 449-0200
(860) 449-1954
Mailing address
616 GOLD STAR HWY, GROTON, CT 06340-6221
(860) 449-0200
(860) 449-1954
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/11/2009
Last updated
06/04/2015
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