Alliance Treatment Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ALLIANCE TREATMENT CENTER

Practice address

121 W Avon Rd
Avon, CT 06001-3506

Phone

(860) 673-6115

Fax

(860) 675-7433

NPI assigned

Oct 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark Muradian, PHD

Title

Executive Director

Phone

(860) 826-1358

Specialties & licenses 1

Addresses

Other identifiers 4

Tax ID family

Alliance Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alliance Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Avon, CT
  • NPI 1174607535
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083798771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 RUSSELL ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521312",
            "telephone_number": "860-229-8887",
            "fax_number": "860-229-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W AVON RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013506",
            "telephone_number": "860-673-6115",
            "fax_number": "860-675-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURADIAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-826-1358",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROV. NUMBER HMO",
            "identifier": "100",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAGA GROUP LOCATION#",
            "identifier": "B00537",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAGA PROVIDER NUMBER",
            "identifier": "CTGA000469",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROV. NUMBER",
            "identifier": "50B",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Cascone Nutrition LLC
• All Star Therapy
• Alledran Med LLC
• Emily H Allen, LCSW
• Staci Robinson Allen, DDS
• Alliance Treatment Center
• Allstar Therapy, LLC (Apple Rehab Sport & Spa)
• Altruism Psychcare Center
• Briana Jean Anderson
• Kelsey Erin Anderson, PA-C

• Substance Use Disorder Rehabilitation Clinic/Center in Avon, CT
• Providers in Avon, CT by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.