Organization
APT FOUNDATION, INC
Active
Other names
RESIDENTIAL SERVICES DIVISION
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
54 E RAMSDELL ST, NEW HAVEN, CT 06515-1140
(203) 337-9943
(203) 387-6533
Mailing address
1 LONG WHARF DR, NEW HAVEN, CT 06511-5991
(203) 781-4600
(203) 781-4624
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001302497
SHI MEDICAID
CT
01
—
001340132
SAVAGE MEDICAID
CT
01
—
001423136
TETRAULT MEDICAID
CT
01
—
008003745
DESROSIERS MEDICAID
CT
01
—
008023170
WILLIAMS MEDICAID
CT
01
—
008030353
FELDMAN MEDICAID
CT
01
—
008037391
SHACKELL MEDICAID
CT
01
—
008038186
IEAD MEDICAID
CT
01
—
008042339
RSD/MEDICAID/MMT
CT
01
—
008045348
TAVERNER MEDICAID
CT
01
—
008053091
BUTNER MEDICAID
CT
01
—
008056047
ROSS MEDICAID
CT
01
—
008058232
ANDERSON MEDICAID
CT
01
—
008069619
PARISI MEDICAID
CT
01
—
008070148
BURGDORFER MEDICAID
CT
Enumeration date
05/02/2012
Last updated
07/05/2019
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