Brooke Matura, LADC
Substance Abuse Rehabilitation Facility in Canaan, Connecticut
1568281780- Practice location
- 187 S Canaan RD, Canaan, CT 06018-2544
- Phone
- 860-824-1397
- Fax
- —
- Last updated
- October 4, 2024
Brooke Matura is a Substance Abuse Rehabilitation Facility based in Canaan, CT. Brooke Matura practices in Canaan, CT and has the professional credentials of LADC. The NPI Number for Brooke Matura is 1568281780 and holds a License No. 001572 (CT). The current practice location address for Brooke Matura is 187 S Canaan RD, Canaan, CT 06018-2544 and can be reached out via phone at 860-824-1397.
Provider Profile Details
- NPI Number
- 1568281780
- Provider Name
- Brooke Matura
- Credential
- LADC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 187 S Canaan RD, Canaan, CT 06018-2544
- Phone Number
- 860-824-1397
- Primary Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 4, 2024
- Last Update Date
- October 4, 2024
- Certification Date
- October 4, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 187 S Canaan RD
Canaan, CT 06018-2544 - City
- Canaan
- State
- Connecticut
- Zip
- 06018-2544
- Phone Number
- 860-824-1397
Provider Business Mailing Address Details
- Address
- Po Box 717
Canaan, CT 06018-0717 - City
- Canaan
- State
- CT
- Zip
- 06018-0717
License Information
- License Number
- 001572
- License State
- CT
- Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Substance Abuse Rehabilitation Facility providers near Canaan, CT
View all Substance Abuse Rehabilitation Facility providers in Canaan →Frequently Asked Questions
What is the NPI number of Brooke Matura, LADC?
The NPI number of Brooke Matura, LADC is 1568281780. It was assigned on October 4, 2024 and is currently active in the NPPES registry.
What is the specialty of Brooke Matura, LADC?
Brooke Matura, LADC is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X), licensed in CT under license number 001572.
Where does Brooke Matura, LADC practice?
The practice location is 187 S Canaan RD, Canaan, CT 06018-2544. The office can be reached at 860-824-1397 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568281780 directly on the NPPES registry website.