Organization
CHAPL HAVEN WEST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL STORZ (PRESIDENT)
(203) 397-1714
Entity
Organization
Contact information
Practice address
1701 N PARK AVE, TUCSON, AZ 85719-3584
(520) 624-9378
Mailing address
1040 WHALLEY AVE, NEW HAVEN, CT 06515-1740
(203) 397-1714
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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