| Mcca, Inc. | |
|
62 Bridge St New Milford CT 06776-3547 | |
| (860) 355-7312 | |
| (860) 354-7023 |
| Full Name | Mcca, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 62 Bridge St, New Milford, Connecticut |
| Authorized Official Name and Position | Jaya Daptardar (V.P OF BEHAVIORAL HEALTHCARE) |
| Authorized Official Contact | 2037924515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcca, Inc. 38 Old Ridgebury Rd Danbury CT 06810-5128 Ph: (203) 792-4515 | Mcca, Inc. 62 Bridge St New Milford CT 06776-3547 Ph: (860) 355-7312 |
| NPI Number | 1992074413 |
|---|---|
| Provider Enumeration Date | 12/29/2011 |
| Last Update Date | 12/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992074413 | NPI | - | NPPES |
| 008031626 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SA-0215 (Connecticut) | Primary |
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