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Organization
CHAPEL HAVEN, INC.
Active
Organization
CHAPEL HAVEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL STORZ (PRESIDENT)
(203) 397-1714
Entity
Organization
Contact information
Practice address
1040 WHALLEY AVE, NEW HAVEN, CT 06515-1740
(203) 397-1714
Mailing address
1040 WHALLEY AVE, NEW HAVEN, CT 06515-1740
(203) 397-1714
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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