Active NPI
Mulligan Recovery Centers of Connecticut, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- New Haven, CT
National Provider Identifier
1215620968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- MULLIGAN RECOVERY CENTERS OF CONNECTICUT, LLC
- Practice address
- 351 Winthrop Ave
New Haven, CT 06511-4130 - Phone
- (305) 902-0177
- NPI assigned
- May 30, 2023
- Last updated
- May 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rachael Dols
- Title
- Owner
- Phone
- (305) 902-0177
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary | ||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X |
Addresses
Primary practice location
351 Winthrop Ave
New Haven, CT 06511-4130
Mailing address
50 Silliman Rd
Wallingford, CT 06492-2036
Phone (305) 902-0177
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685404800000",
"number": "1215620968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 SILLIMAN RD",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064922036",
"telephone_number": "305-902-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 WINTHROP AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114130",
"telephone_number": "305-902-0177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULLIGAN RECOVERY CENTERS OF CONNECTICUT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-30",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A",
"authorized_official_last_name": "DOLS",
"authorized_official_first_name": "RACHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-902-0177",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.