Organization
MIDWESTERN CONNECTICUT COUNCIL ON ALCOHOLISM, INC.
Active
Organization
MIDWESTERN CONNECTICUT COUNCIL ON ALCOHOLISM, INC.
Active
Other names
MCCA, inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAYA DAPTARDAR (V.P OF BEHAVIORAL HEALTHCARE)
(203) 792-4515
Entity
Organization
Contact information
Practice address
62 BRIDGE ST, NEW MILFORD, CT 06776-3547
(860) 355-7312
(860) 354-7023
Mailing address
38 OLD RIDGEBURY RD, DANBURY, CT 06810-5128
(203) 792-4515
(203) 748-2604
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SA-0215
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008031626
—
CT
Enumeration date
12/29/2011
Last updated
12/29/2011
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