Organization
HAVEN OF HEALTH MBS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAURICE CRENSHAW RN (CLINICAL ADMINISTRATOR)
(203) 915-9282
Entity
Organization
Contact information
Practice address
101 PENDLETON ST, NEW HAVEN, CT 06511-2947
(203) 915-9282
Mailing address
52 SNOW RDG N, MIDDLETOWN, CT 06457-1568
(203) 915-9282
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
07/01/2024
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