SOUTHEASTERN COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE INC (NPI# 1003960022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003960022 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE INC |
| Other Organization Name | SCADD INC |
| Practice Address |
37 Camp Mooween Road Lebanon CT 06249 |
| Practice Telephone | 8608891717 |
| Practice Fax Number | 8608862361 |
| Mailing Telephone | 8608862495 |
| Mailing Fax Number | 8608870007 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-06-11 |
| Authorized Official Name | MR. JOHN F MALONE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8608862495 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | SA0020 | CT | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | SA-0018 | CT | Residential Treatment Facilities |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
0439 | CT | Ambulatory Health Care Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
0343 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | HEALTH NET | 149925 | 01 |
| CT | MAGELLAN | 175904 | 01 |
| CT | 004144606 | 05 | |
| CT | 004042073 | 05 | |
| CT | 004173671 | 05 |
| Other Name | Type Code |
|---|---|
| SCADD Inc | Doing Business As Name - Organization |
| Street Address |
37 CAMP MOOWEEN ROAD |
| City | LEBANON |
| State | CT |
| Zip Code | 06249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326186404 | Nusie M Halpine | Social Worker | 100 Kingsley Rd, Lebanon, CT 06249-1028 | 2007-02-02 |
| 1003833005 | Thomas Pawlowski Dba Thomas Respiratory Health Care | Durable Medical Equipment & Medical Supplies | 385 Beaumont Hwy, Lebanon, CT 06249-1103 | 2006-07-16 |
| 1467631150 | Thomas E Pawlowski | Specialist | 385 Beaumont Hwy, Lebanon, CT 06249-1146 | 2007-10-30 |
| 1871063800 | Victoria F Tuttle | Physical Therapy Assistant | 282 Exeter Rd, Lebanon, CT 06249-1321 | 2018-12-03 |
| 1295062156 | Danielle Tope | Psychologist | 48 Williams Crossing Rd, Lebanon, CT 06249-1339 | 2009-11-12 |
| 1538595731 | Sarah Strielkauskas | Physical Therapist | 92 Synagogue Rd, Lebanon, CT 06249-1419 | 2013-09-19 |
| 1326469024 | Sugati Health and Wellness | Clinic/Center | 37 W Town St, Lebanon, CT 06249-1536 | 2013-12-23 |
| 1992803365 | Lynn Carol Ereshena-manning | Social Worker | 39 W Town St, Lebanon, CT 06249-1536 | 2006-09-20 |
| 1184701393 | John Howe Reed Sr. | Counselor | 525 Exeter Rd, Lebanon, CT 06249-1544 | 2006-11-01 |
| 1326567488 | Kyia Barnett | Student in an Organized Health Care Education/Training Program | 17 Stagecoach Rd, Lebanon, CT 06249-1648 | 2017-09-10 |
| Find all providers in zip 06249 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.