Organization Name: | MOUNTAINSIDE TREATMENT CENTER |
NPI Number: | 1083883177 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN LANGLEY (EXECUTIVE DIRECTOR) |
Mailing Address: | 187 Route 7 Canaan |
State: | CT US |
Postal Code: | 06018 |
Phone Number: | 8608241397 |
Fax Number: | 8608244021 |
NPI Enumeration Date: | 02/22/2008 |
NPI Last Update Date: | 10/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | SA0187 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy 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. |