MC1 HEALTHCARE NPI 1255710422

NPI Information

  • NPI: 1255710422
  • Provider Name: MC1 HEALTHCARE
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Other Name: MOUNTAINSIDE TREATMENT CENTER
  • CLIA Number: 33D2149093
  • Address: 187 S CANAAN RD
    CANAAN, CT
    ZIP 06018
  • Phone: (860) 824-1397

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NPI Details

MC1 HEALTHCARE 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. MC1 HEALTHCARE NPI is 1255710422. The provider is registered as an organization entity type.
The provider Other Name Is Mountainside Treatment Center.

The provider's business location address is:

187 S CANAAN RD
CANAAN, CT
ZIP 06018-544
Phone: (860) 824-1397

The provider's authorized official is Stephen Langley .
The authorized official title is Executive Director and has the following contact phone number (860) 824-1397.

The CLIA number assigned to this NPI record is 33D2149093 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2015 and was last updated on 5/21/2015.

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
1324500000XSubstance Abuse Rehabilitation Facility0388CONNECTICUTYes

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: 11/21/2025

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