| NPI | 1033239249 |
|---|---|
| Doing Business As | SHORELINE CHRISTIAN COUNSELING |
| Entity Type | Organization |
| Authorized Contact | ULARI DIKE Office Manager 203-318-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CT 039301) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 001460) |
| 1041C0700X Social Worker, Clinical (Licence: CT 002876) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 004809) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-10-14 |