NPI | 1336407915 |
---|---|
Doing Business As | WELLMORE, INC.-THERAPEUTIC SHELTER |
Entity Type | Organization |
Authorized Contact | GARY STECK Chief Executive Officer 203-574-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2012-05-02 |
Last Update Date | 2014-06-11 |