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Organization

CHEMICAL ABUSE SERVICES AGENCY, INC.

Active
Other names
MAAS Meth Maintenance
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ASHER DELERME MS, LADC, CCS, CCDP (EXECUTIVE DIRECTOR)
(203) 331-4728
Entity
Organization

Contact information

Practice address
426 EAST ST, NEW HAVEN, CT 06511-5018
(203) 495-7710
(203) 495-7713
Mailing address
1124 IRANISTAN AVE, BRIDGEPORT, CT 06605-1121
(203) 331-4728
(203) 873-0987

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SA-0120
CT
261QM2800X
Methadone Clinic
SA- 0120
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004236742
CT
05
1043421985
CT
Enumeration date
05/24/2007
Last updated
03/22/2013
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