Organization
APT FOUNDATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN M MADDEN MPA (PRESIDENT/CHIEF EXECUTIVE OFFICER)
(203) 781-4600
Entity
Organization
Contact information
Practice address
184 FRONT AVE, WEST HAVEN, CT 06516-2836
(203) 781-4600
(203) 781-4624
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
Primary
0515
CT
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
0515
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001340132
—
CT
05
—
008038037
—
CT
05
—
008038052
—
CT
05
—
008050785
—
CT
05
—
008069472
—
CT
Enumeration date
10/17/2016
Last updated
02/08/2017
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