| Organization Name: | WELLMORE, INC |
| NPI Number: | 1114286713 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY STECK (CEO) |
| Mailing Address: | 30 Controls Dr Shelton Outpatient Behavioral Health Services Shelton |
| State: | CT US |
| Postal Code: | 064846157 |
| Phone Number: | 2039440366 |
| Fax Number: | 2039440159 |
| NPI Enumeration Date: | 05/16/2012 |
| NPI Last Update Date: | 02/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |