# HAVEN HEALTH CENTER OF FARMINGTON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841409786
- **Authorized official:** MISS SUSAN NICOLL CHORONZY OTR (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (860) 677-1671

## Contact information

- **Practice address:** 16-20 FOREST GLEN CIR, MIDDLETOWN, CT 06457-6662
- **Practice address phone:** (203) 668-0695
- **Mailing address:** 16-20 FOREST GLEN CIR, MIDDLETOWN, CT 06457-6662
- **Mailing address phone:** (203) 668-0695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 002780 | CT | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 08/22/2020