Organization
POSITIVE ADVERSITY YOUTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN VON CHANEY (FOUNDER/CEO)
(860) 625-6656
Entity
Organization
Contact information
Practice address
29 HUNTINGTON ST, NEW LONDON, CT 06320-6110
(860) 625-6656
Mailing address
611 OCEAN AVE UNIT C2, NEW LONDON, CT 06320-4441
(860) 625-6656
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253J00000X
Foster Care Agency
—
—
310400000X
Assisted Living Facility
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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