OrganizationActive
Shoreline, Inc.
NPI 1962559252 · Substance Use Disorder Rehabilitation Clinic/Center · Taft, TX
Provider details
- NPI number
- 1962559252
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Jackson, Ceo(361) 528-3356
Specialties & taxonomies
Ambulatory Health Care Facilities
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Residential Treatment Facilities
Practice location
1220 Gregory St.
Taft, TX 78390-3044
Phone: (361) 528-3356
Fax: (361) 528-3249
Approximate (ZIP-level) locationGet directions
Mailing address
1220 Gregory St
Taft, TX 78390-3044
Registry dates
- Enumerated
- 2007-01-05
- Last updated
- 2023-07-07
- Certified
- 2022-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.