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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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