Organization
MEDITOX CARE, LLC
Active
Other names
Elevate Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ELSAMRA MD (OWNER AND MANAGER)
(203) 450-4882
Entity
Organization
Contact information
Practice address
179 POST RD W, WESTPORT, CT 06880-4602
(203) 450-4882
(866) 505-8927
Mailing address
179 POST RD W, WESTPORT, CT 06880-4602
(203) 450-4882
(866) 505-8927
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/09/2016
Last updated
08/03/2022
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