| Shoreline Therapy Center Of Central Ct Llc | |
|
2 Forest Park Drive Suite 02-01-rb Farmington CT 06032 | |
| (203) 453-2999 | |
| Not Available |
| Full Name | Shoreline Therapy Center Of Central Ct Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2 Forest Park Drive, Farmington, Connecticut |
| Authorized Official Name and Position | Alexander Klein (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2034532999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Therapy Center Of Central Ct Llc 2 Forest Park Drive Suite 02-01-rb Farmington CT 06032 Ph: (203) 453-2999 | Shoreline Therapy Center Of Central Ct Llc 2 Forest Park Drive Suite 02-01-rb Farmington CT 06032 Ph: (203) 453-2999 |
| NPI Number | 1033911904 |
|---|---|
| Provider Enumeration Date | 03/24/2025 |
| Last Update Date | 03/24/2025 |
| Certification Date | 03/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033911904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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