Whalio Doctors

NPI 1699134742

Mountainside Treatment Center

Organisation Substance Abuse Rehabilitation Facility Canaan, CT

Practice location

Address
187 S Canaan Rd, Canaan, CT 06018-2544
Phone
(860) 362-5051

Authorised official

Name
Brittanie Decker
Title
Clinical Integration Manager
Phone
(860) 362-5051

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 1181 (CT)

Registry record

NPI
1699134742
Entity type
Organization
NPI issued
17 Feb 2016
Record last updated
17 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.