| Midwestern Connecticut Council On Alcoholism, Inc | |
|
62 Bridge St New Milford CT 06776-3547 | |
| (860) 355-7312 | |
| (860) 354-7023 |
| Full Name | Midwestern Connecticut Council On Alcoholism, Inc |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 62 Bridge St, New Milford, Connecticut |
| Authorized Official Name and Position | Louis E Velotti (COUNSELOR III) |
| Authorized Official Contact | 2037924515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwestern Connecticut Council On Alcoholism, Inc 38 Old Ridgebury Rd Danbury CT 06810-5128 Ph: (203) 792-4515 | Midwestern Connecticut Council On Alcoholism, Inc 62 Bridge St New Milford CT 06776-3547 Ph: (860) 355-7312 |
| NPI Number | 1750650255 |
|---|---|
| Provider Enumeration Date | 12/29/2011 |
| Last Update Date | 12/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750650255 | NPI | - | NPPES |
| 008031626 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | SA-0215 (Connecticut) | Primary |
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