| Southeastern Council On Alcoholism And Drug Dependence Inc | |
|
932 Bank St New London CT 06320-2703 | |
| (860) 294-9586 | |
| Not Available |
| Full Name | Southeastern Council On Alcoholism And Drug Dependence Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 932 Bank St, New London, Connecticut |
| Authorized Official Name and Position | Stacey Lynn Lawton (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8605793616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Council On Alcoholism And Drug Dependence Inc 1 Montauk Ave Ste 300 New London CT 06320-4967 Ph: (860) 294-9586 | Southeastern Council On Alcoholism And Drug Dependence Inc 932 Bank St New London CT 06320-2703 Ph: (860) 294-9586 |
| NPI Number | 1750256806 |
|---|---|
| Provider Enumeration Date | 10/08/2025 |
| Last Update Date | 10/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750256806 | NPI | - | NPPES |
| 008122076 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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