Provider Type Icon

MOUNTAINSIDE TREATMENT CENTER NPI 1699134742


NPI Information

NPI: 1699134742
Provider Name: MOUNTAINSIDE TREATMENT CENTER
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
187 S CANAAN RD
CANAAN, CT
ZIP 06018
Phone: (860) 362-5051
Get Directions

MOUNTAINSIDE TREATMENT CENTER is a substance abuse rehabilitation facility in Canaan, CT. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MOUNTAINSIDE TREATMENT CENTER NPI is 1699134742. The provider is registered as an organization entity type.

The provider's business location address is:

187 S CANAAN RD
CANAAN, CT
ZIP 06018-544
Phone: (860) 362-5051

The provider's authorized official is Brittanie Decker .
The authorized official title is Clinical Integration Manager and has the following contact phone number (860) 362-5051.

The enumeration date for this NPI number is 2/17/2016 and was last updated on 2/17/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility1181CONNECTICUTYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.