| Maas Meth Maintenance | |
|
426 East St New Haven CT 06511-5018 | |
| (203) 495-7710 | |
| (203) 495-7713 |
| Full Name | Maas Meth Maintenance |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 426 East St, New Haven, Connecticut |
| Authorized Official Name and Position | Asher Delerme (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2033314728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maas Meth Maintenance 1124 Iranistan Ave Bridgeport CT 06605-1121 Ph: (203) 331-4728 | Maas Meth Maintenance 426 East St New Haven CT 06511-5018 Ph: (203) 495-7710 |
| NPI Number | 1043421985 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 03/22/2013 |
| Medicare PECOS PAC ID | 2466888359 |
|---|---|
| Medicare Enrollment ID | O20200213000911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043421985 | NPI | - | NPPES |
| 004236742 | Medicaid | CT | |
| 1043421985 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SA-0120 (Connecticut) | Primary |
| 261QM2800X | Clinic/center - Methadone | SA- 0120 (Connecticut) | Secondary |
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