Organization
MOUNTAINSIDE TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANIE DECKER (CLINICAL INTEGRATION MANAGER)
(860) 362-5051
Entity
Organization
Contact information
Practice address
187 S CANAAN RD, CANAAN, CT 06018-2544
(860) 362-5051
Mailing address
187 S CANAAN RD, CANAAN, CT 06018-2544
(860) 362-5051
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1181
CT
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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