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Southeastern Council On Alcoholism And Drug Dependence Inc
Substance Abuse Rehabilitation Facility in Lebanon, Connecticut
NPI 1003960022

Southeastern Council On Alcoholism And Drug Dependence Inc is a Substance Abuse Rehabilitation Facility based in Lebanon, CT. Southeastern Council On Alcoholism And Drug Dependence Inc practices in Lebanon, CT. The NPI Number for Southeastern Council On Alcoholism And Drug Dependence Inc is 1003960022 and holds a License No. 0439 (Connecticut).

The current practice location address for Southeastern Council On Alcoholism And Drug Dependence Inc is 37 Camp Mooween Road, Lebanon, CT and can be reached out via phone at 860-889-1717 and via fax at 860-886-2361.

Location: 37 Camp Mooween Road, Lebanon, CT, 06249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003960022
Provider Name
Southeastern Council On Alcoholism And Drug Dependence Inc
Credential
Provider Entity Type
Organization
Address
37 Camp Mooween Road, Lebanon, CT, 06249
Phone Number
860-889-1717
Fax Number
860-886-2361
Provider Enumeration Date
01/23/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004173671 05 CT
004042073 05 CT
004144606 05 CT
175904 01 CT MAGELLAN
149925 01 CT HEALTH NET
institution
Provider Business Practice Location Address Details
Address
37 Camp Mooween Road
City
Lebanon
State
Connecticut
Zip
06249
Phone Number
860-889-1717
Fax Number
860-886-2361
person
Provider Business Mailing Address Details
Address
37 Camp Mooween Road
City
Lebanon
State
Connecticut
Zip
06249
Phone Number
860-889-1717
Fax Number
860-886-2361
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
SA0020 (Connecticut)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
0343 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
0439 (Connecticut)
Definition
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.
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