Healthcare Provider Details

I. General information

NPI: 1649405887
Provider Name (Legal Business Name): APT FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2009
Last Update Date: 02/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 CONGRESS AVE
NEW HAVEN CT
06519-1312
US

IV. Provider business mailing address

1 LONG WHARF DR SUITE 321
NEW HAVEN CT
06511-5991
US

V. Phone/Fax

Practice location:
  • Phone: 203-781-4740
  • Fax: 203-781-4751
Mailing address:
  • Phone: 203-781-4600
  • Fax: 203-781-4624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number0476
License Number StateCT

VIII. Authorized Official

Name: MS. LYNN M MADDEN
Title or Position: PRESIDENT/CEO
Credential: MPA
Phone: 203-781-4600