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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