Shoreline, Inc
Shoreline, Inc is a Psychiatry Physician in Taft, Texas. Licensed in Texas. Registered with an NPI since 2007.
- Licensed in
- TX
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1220 Gregory StTaft, TX 78390-3044
Phone: (361) 528-3356
Fax: (361) 528-3249
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X |
|---|---|
| Psychiatry Physician | Taxonomy 2084P0800X |
| Children's Substance Abuse Rehabilitation Facility | Taxonomy 3245S0500X · Licence 481A (TX) |
Record details
| NPI number | 1962559252 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Jackson — Ceo · (361) 528-3356 |
| NPI enumerated | January 5, 2007 |
| Last updated in NPPES | July 7, 2023 |
| Certification date | June 10, 2022 |
| Mailing address | 1220 Gregory St, Taft, TX 78390-3044 |