Organization
APT FOUNDATION, INC
Active
Organization
APT FOUNDATION, INC
Active
Other names
APT Residential Services Division (RSD)
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN M MADDEN MPA (CHIEF EXECUTIVE OFFICER)
(203) 781-4640
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, SUITE 321, NEW HAVEN, CT 06511-5991
(203) 781-4600
(203) 781-4624
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
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
—
008038188
REILLY MEDICAID
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
12/28/2006
Last updated
07/05/2019
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