Mountainside - Wilton
Substance Abuse Rehabilitation Facility in Wilton, CT. Organization (NPI-2).
NPI number1669970125
StatusActive
Last updated in NPPESMar 25, 2022
Details
- NPI
- 1669970125
- Entity type
- Organization (NPI-2)
- Legal business name
- Mountainside - Wilton
- Organization subpart
- No
- Enumeration date
- Jan 30, 2018
- Certification date
- Mar 25, 2022
- Last updated
- Mar 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Practice location
372 Danbury Rd Ste 195Wilton, CT 06897-2523
Phone 860-362-5232
Mailing address
372 Danbury Rd Ste 195Wilton, CT 06897-2523
Phone 860-362-5232
Authorized official
Michelle Williamson
Director Of Billing
8603625232
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