Active NPIOrganization

Mountainside Treatment Center

Substance Abuse Rehabilitation Facility in Canaan, Connecticut

NPI Number1699134742
Practice location
187 S Canaan RD, Canaan, CT 06018-2544
Fax
—
Last updated
February 17, 2016

Mountainside Treatment Center is a healthcare organization based in Canaan, CT. Mountainside Treatment Center practices in Canaan, CT. The NPI Number for Mountainside Treatment Center is 1699134742 and holds a License No. 1181 (CT). The current practice location address for Mountainside Treatment Center is 187 S Canaan RD, Canaan, CT 06018-2544 and can be reached out via phone at 860-362-5051.

Provider Profile Details

NPI Number
1699134742
Provider Name
Mountainside Treatment Center
Provider Entity Type
Organization
Address
187 S Canaan RD, Canaan, CT 06018-2544
Phone Number
860-362-5051
Primary Taxonomy
Substance Abuse Rehabilitation Facility · 324500000X
Organization Subpart
No
Authorized Official
Brittanie Decker · Clinical Integration Manager · 860-362-5051
Provider Enumeration Date
February 17, 2016
Last Update Date
February 17, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
187 S Canaan RD
Canaan, CT 06018-2544
City
Canaan
Zip
06018-2544
Phone Number
860-362-5051
Canaan, CT 06018Get directions →

Provider Business Mailing Address Details

Address
187 S Canaan RD
Canaan, CT 06018-2544
City
Canaan
State
CT
Zip
06018-2544
Phone Number
860-362-5051

License Information

License Number
1181
License State
CT
Taxonomy
Substance Abuse Rehabilitation Facility · 324500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mountainside Treatment Center?

The NPI number of Mountainside Treatment Center is 1699134742. It was assigned on February 17, 2016 and is currently active in the NPPES registry.

What is the specialty of Mountainside Treatment Center?

Mountainside Treatment Center is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X), licensed in CT under license number 1181.

Where does Mountainside Treatment Center practice?

The practice location is 187 S Canaan RD, Canaan, CT 06018-2544. The office can be reached at 860-362-5051 (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 1699134742 directly on the NPPES registry website.

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