Organization
MEDITOX CARE, LLC
Active
Parent organization
MEDITOX CARE, LLC
Other names
Elevate Health and Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDITOX CARE, LLC
Authorized official
MOHAMED ELSAMRA MD (OWNER)
(203) 887-3890
Entity
Organization
Contact information
Practice address
179 POST RD W, WESTPORT, CT 06880-4602
(203) 450-4882
Mailing address
179 POST RD W, WESTPORT, CT 06880-4602
(203) 450-4882
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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