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Cocaine Addiction Treatment Request

Name
Phone
Email
City
State
Seeking Help For:
What Is The Age Of Individual Needing Cocaine Treatment?
Has The Individual Received Cocaine Addiction Treatment Or Attended A Cocaine Rehab Before?Yes No
General Situation:
Preferred Contact Method?Phone Email
  • Affiliates for
    Affiliates for is a Drug and Alcohol Rehabilitation Program that is located at:

    389 Orange Street
    New Haven, CT. 6511

    If you would like to contact Affiliates for, you can reach them at 203-562-4235.

    Affiliates for offers the following treatment services: Substance Abuse Treatment Services, Outpatient
    Payment forms accepted: Self Payment, Private Health Insurance
1-866-755-6713