Organization
YOLANDA DUBOSE WOMAN SURVIVAL FOUNDATION LLC
Active
Other names
Woman Survival
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA DUBOSE OWNER (CEO)
(203) 859-0313
Entity
Organization
Contact information
Practice address
105 W PROSPECT ST, WEST HAVEN, CT 06516-3540
(203) 859-0313
Mailing address
105 W PROSPECT ST, WEST HAVEN, CT 06516-3540
(203) 859-0313
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
CT
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
CT
320800000X
Mental Illness Community Based Residential Treatment Facility
—
CT
324500000X
Substance Abuse Rehabilitation Facility
—
CT
Other
Enumeration date
11/05/2013
Last updated
07/21/2022
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