MULLIGAN RECOVERY CENTERS OF CONNECTICUT LLC NPI 1215620968

NPI Information

NPI: 1215620968
Provider Name: MULLIGAN RECOVERY CENTERS OF CONNECTICUT, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
351 WINTHROP AVE
NEW HAVEN, CT
ZIP 06511
Phone: (305) 902-0177
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MULLIGAN RECOVERY CENTERS OF CONNECTICUT, LLC is a rehabilitation and substance use disorder clinic center in New Haven, CT. MULLIGAN RECOVERY CENTERS OF CONNECTICUT, LLC NPI is 1215620968. The provider is registered as an organization entity type.

The provider's business location address is:

351 WINTHROP AVE
NEW HAVEN, CT
ZIP 06511-130
Phone: (305) 902-0177

The provider's authorized official is Rachael Dols .
The authorized official title is Owner and has the following contact phone number (305) 902-0177.

The enumeration date for this NPI number is 5/30/2023 and was last updated on 5/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children			No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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