Organization
BETTER LIFE- MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUKAT A KHAN M.D. (OWNER)
(203) 494-6206
Entity
Organization
Contact information
Practice address
15 RAINBOW RD, BETHANY, CT 06524-3145
(203) 393-9120
Mailing address
21 HAZEL TER, SUITE B, WOODBRIDGE, CT 06525-2209
(203) 389-6000
(203) 389-6000
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
039209
CT
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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