Provider Demographics
NPI:1073679445
Name:APT FOUNDATION, INC
Entity Type:Organization
Organization Name:APT FOUNDATION, INC
Other - Org Name:ORCHARD HILL TREATMENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:203-781-4600
Mailing Address - Street 1:1 LONG WHARF DR
Mailing Address - Street 2:SUITE 321
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-5991
Mailing Address - Country:US
Mailing Address - Phone:203-781-4600
Mailing Address - Fax:203-781-4624
Practice Address - Street 1:352 STATE ST
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-3108
Practice Address - Country:US
Practice Address - Phone:203-781-4600
Practice Address - Fax:203-781-4624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTSA-0101261QM2800X, 261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008058217OtherSEARS MEDICAID
CT008064634OtherGARERI MEDICAID
CT001218107OtherSCHOTTENFELD MEDICAID
CT008050283OtherHAYNES MEDICAID
CT008066315OtherCOLON RIVERA MEDICAID
CT008038019OtherMEDICAID ONOFRIO
CT008038047OtherDIMEOLA MEDICAID
CT001423136OtherTETRAULT MEDICAID
CT004082286OtherORC/MEDICAID/MMT
CT008038019OtherMEDICAID ONOFRIO
CT008053091OtherBUTNER MEDICAID
CT001302497OtherSHI MEDICAID
CT004235083OtherYOUNG MEDICAID
CT008037391OtherSHACKELL MEDICAID
CT008053715OtherNUNLEY MEDICAID
CT008066551OtherDEOLIVEIRA MEDICAID
CT500000315OtherORC/MEDICAID/SA
CT008003745OtherDESROSIERS MEDICAID
CT008038049OtherPETHO MEDICAID
CT008043611OtherROSS MEDICAID
CT008061077OtherMEDICAID VOLLONO
CT001340132OtherSAVAGE MEDICAID
CT001340132OtherSAVAGE MEDICAID
CTD400360105Medicare PIN
CTD400357718Medicare PIN
CT008066551OtherDEOLIVEIRA MEDICAID
CTD400083844Medicare PIN
CT008066315OtherCOLON RIVERA MEDICAID
CT008003745OtherDESROSIERS MEDICAID
CT008058217OtherSEARS MEDICAID
CTD40076510Medicare PIN
CTD400172220Medicare PIN