Organization
SHORELINE THERAPY CENTER OF SOUTHWEST CT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER KLEIN (EXECUTIVE DIRECTOR)
(203) 499-7890
Entity
Organization
Contact information
Practice address
120 POST RD W STE 301, WESTPORT, CT 06880-4206
(203) 499-7890
Mailing address
120 POST RD W STE 301, WESTPORT, CT 06880-4206
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/13/2023
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