Southeastern Council On Alcoholism And Drug Dependence Inc in Lebanon - Substance Abuse Rehabilitation Facility
Southeastern Council On Alcoholism And Drug Dependence Inc - NPI 1003960022
Southeastern Council On Alcoholism And Drug Dependence Inc is a Substance Abuse Rehabilitation Facility in Lebanon, Connecticut. Southeastern Council On Alcoholism And Drug Dependence Inc practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Southeastern Council On Alcoholism And Drug Dependence Inc is 1003960022. The last update date is 2008-06-11.
Southeastern Council On Alcoholism And Drug Dependence Inc's current location address is 37 Camp Mooween Road, Lebanon, Connecticut. You can contact this provider via phone number 8608891717 and fax number 8608862361. The mailing address for Southeastern Council On Alcoholism And Drug Dependence Inc is 37 Camp Mooween Road, Lebanon, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Council On Alcoholism And Drug Dependence Inc |
|---|---|
| Address | 37 Camp Mooween Road, Lebanon, Connecticut |
| Phone Number | 8608891717 |
| Fax Number | 8608862361 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Malone F John |
| Telephone Number | 8608862495 |
NPI Number Detail
| NPI Number | 1003960022 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2008-06-11 |
Provider Mailing Address Detail
| Address | 37 Camp Mooween Road |
|---|---|
| City | Lebanon |
| State | Connecticut (CT) |
| Post Code | 6249 |
| Phone Number | 8608891717 |
| Fax Number | 8608862361 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | SA0020 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4173671 | CT | -- | |
| 4042073 | CT | -- | |
| 4144606 | CT | -- | |
| 175904 | CT | MAGELLAN | |
| 149925 | CT | HEALTH NET |
Post Comment/ Review Below
What is the unique provider identifier assigned to Southeastern Council On Alcoholism And Drug Dependence Inc?
The Southeastern Council On Alcoholism And Drug Dependence Inc has been issued the NPI (National Provider Identifier) 1003960022 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Southeastern Council On Alcoholism And Drug Dependence Inc's facilities are geographically located?
The facilities of Southeastern Council On Alcoholism And Drug Dependence Inc are physically situated at the following location: 37 Camp Mooween Road, Lebanon, CT, 6249.
What is Southeastern Council On Alcoholism And Drug Dependence Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southeastern Council On Alcoholism And Drug Dependence Inc is Substance Abuse Rehabilitation Facility, and the taxonomy code that categorizes this field of expertise is 324500000X.
When did Southeastern Council On Alcoholism And Drug Dependence Inc receive its 1003960022 assignment?
The Southeastern Council On Alcoholism And Drug Dependence Inc was assigned its 1003960022 on 2007-01-23, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Southeastern Council On Alcoholism And Drug Dependence Inc last refreshed?
The information related to the Southeastern Council On Alcoholism And Drug Dependence Inc, including its address, specialty, and other relevant details, was last updated on 2008-06-11.