Organization
MC1 HEALTHCARE
Active
Other names
Mountainside Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN LANGLEY CAC (EXECUTIVE DIRECTOR)
(860) 824-1397
Entity
Organization
Contact information
Practice address
187 S CANAAN RD, CANAAN, CT 06018-2544
(860) 824-1397
Mailing address
187 S CANAAN RD, PO BOX 717, CANAAN, CT 06018-2544
(860) 824-1397
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
0388
CT
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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