Organization
APT FOUNDATION INC
Active
Organization
APT FOUNDATION INC
Active
Other names
Legion Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN MADDEN MPA (PRESIDENT/ CEO)
(203) 781-4600
Entity
Organization
Contact information
Practice address
1 LONG WHARF DR, STE 321, NEW HAVEN, CT 06511-5991
(203) 781-4600
(203) 781-4624
Mailing address
1 LONG WHARF DR, STE 321, NEW HAVEN, CT 06511-5991
(203) 781-4600
(203) 781-4624
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
0230
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001218107
SCHOTTENFELD MEDICAID
CT
01
—
001302497
SHI MEDICAID
CT
01
—
001340132
SAVAGE MEDICAID
CT
01
—
001423136
TETRAULT MEDICAID
CT
01
—
008001325
LEGION/MEDICAID/SA
CT
01
—
008003745
DESROSIERS MEDICAID
CT
01
—
008037391
SHACKELL MEDICAID
CT
01
—
008038037
EGGERT MEDICAID
CT
01
—
008038052
NODELMAN MEDICAID
CT
01
—
008038053
ROEHRICH MEDICAID
CT
01
—
008045323
GARCIA MEDICAID
CT
01
—
008048393
BARRY MEDICAID
CT
01
—
008050785
DROZD MEDICAID
CT
01
—
008053091
BUTNER MEDICAID
CT
01
—
008061961
SMALL-OIE MEDICAID
CT
01
—
008066293
MARDAM BEY MEDICAID
CT
01
—
008069472
POTWARDOWSKI MEDICAID
CT
05
—
008070113
—
CT
Enumeration date
12/08/2010
Last updated
02/21/2017
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