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Organization
APT FOUNDATION INC
Active
Organization
APT FOUNDATION INC
Active
Other names
Access Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN M MADDEN MPA (PRESIDENT/CEO)
(203) 781-4600
Entity
Organization
Contact information
Practice address
1 LONG WHARF DR, SUITE 10, NEW HAVEN, CT 06511-5991
(203) 781-4357
(203) 781-4705
Mailing address
1 LONG WHARF DR, SUITE 321, NEW HAVEN, CT 06511-5991
(203) 781-4600
(203) 781-4624
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
SA-0190
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001155787
SHIMELMAN MEDICAID
CT
01
—
001218107
SCHOTTENFELD MEDICAID
CT
01
—
001302497
SHI MEDICAID
CT
01
—
001307439
ALTICE MEDICAID
CT
01
—
001340132
SAVAGE MEDICAID
CT
01
—
001423136
TETRAULT MEDICAID
CT
01
—
008001077
MOORE MEDICAID
CT
01
—
008003745
ASCESS/MEDCAID/MMT
CT
01
—
008009745
DESROSIERS MEDCAID
CO
01
—
008037391
SHACKELL MEDICAID
CT
01
—
008038036
BAKER MEDICAID
CT
01
—
008038040
LENCZYCKI MEDICAID
CT
01
—
008038042
POLANETSKA MEDICAID
CT
01
—
008038043
WHELAN MEDICAID
CT
01
—
008038044
FARNUM MEDICAID
CT
01
—
008038741
OWEN MEDICAID
CT
01
—
008039605
HERMES MEDICAID #
CT
01
—
008040283
CAMENGA MEDICAID
CT
01
—
008042701
KATZMAN MEDICAID
CT
01
—
008048372
SHARMAIN MEDICAID
CT
01
—
008048393
BARRY MEDICAID
CT
01
—
008048733
SUCHMAN MEDICAID
CT
01
—
008053091
BUTNER MEDICAID
CT
01
—
008057039
MILLER MEDICAID
CT
01
—
008057135
MEDICAID HEATHER KNOX
CT
01
—
008058058
SADINSKY MEDICAID
CT
01
—
008058728
RIERA TIMOTHY MEDICAID
CT
01
—
008063217
APPLEGET MEDICAID
CT
01
—
008063396
MEMISEVICH MEDICAID
CT
01
—
008064860
WEISS MEDICAID
CT
01
—
008066801
HAQUE MEDICAID
CT
01
—
008069118
CAMPBELL MEDICAID #
CT
01
—
008071202
MEDICAID AMYNAH DHARANI
CT
Enumeration date
05/18/2009
Last updated
04/26/2017
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