Organization
CHEMICAL ABUSE SERVICES AGENCY, INC.
Active
Other names
MAAS Amb Detox
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHER DELERME MS, LADC, CCS, CCDP (EXECUTIVE DIRECTOR)
(203) 339-4112
Entity
Organization
Contact information
Practice address
426 EAST ST, NEW HAVEN, CT 06511-5018
(203) 495-7710
(203) 495-7713
Mailing address
690 ARCTIC ST, BRIDGEPORT, CT 06608-2008
(203) 339-4112
(203) 339-4115
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SA-0120
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004251972
—
CT
Enumeration date
05/24/2007
Last updated
03/05/2015
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