SOUTHEASTERN COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE INC – NPI #1003960022
Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
SOUTHEASTERN COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE INC is a substance abuse rehabilitation facility located in LEBANON, CT. NPPES has assigned the NPI number 1003960022 to SOUTHEASTERN COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE INC on January 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 6 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.
The NPI profile was last updated on Mar 09, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEASTERN COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE INC below.
NPI Profile for
SOUTHEASTERN COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE INC
(more than 19 years ago)
LEBANON, CT 06249 Phone: (860) 889-1717 Fax: (860) 886-2361
6 Other location(s):
New London, CT 06320-5904
Phone: (860) 447-1717
New London, CT 06320-5904
Phone: (860) 447-1717
New London, CT 06320-5924
Phone: (860) 447-1717
New London, CT 06320-5923
Phone: (860) 447-1717
New London, CT 06320-2703
Phone: (860) 447-1717
Norwich, CT 06360-5835
Phone: (860) 447-1717
NEW LONDON, CT 06320-4967 Phone: (860) 447-1717 Fax: (860) 887-0007
CHIEF EXECUTIVE OFFICER
Phone: (860) 579-3616
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for SOUTHEASTERN COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE INC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | CT | 004042073 | |
| medicaid | CT | 004144606 | |
| medicaid | CT | 008109801 | |
| medicaid | CT | 008110668 | |
| medicaid | CT | 008110670 | |
| medicaid | CT | 008075943 | |
| medicaid | CT | 008132356 | |
| medicaid | CT | 008004220 | |
| medicaid | CT | 008133549 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 324500000X - Substance Abuse Rehabilitation Facility (Primary) |
CT | SA0020 |
| 261QM0850X - Clinic/Center / Adult Mental Health |
CT | 0439 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.