MOUNTAINSIDE- MASSACHUSETTS NPI 1073263687

NPI Information

MOUNTAINSIDE- MASSACHUSETTS 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- MASSACHUSETTS NPI is 1073263687. 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) 362-5232
Fax: (877) 861-6507

The provider's authorized official is Michelle Williamson .
The authorized official title is Sr Director, Revenue Cycle and has the following contact phone number (860) 362-5232.

The enumeration date for this NPI number is 3/26/2022 and was last updated on 3/26/2022.

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:

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