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Yolanda Dubose Woman Survival Foundation Llc
Substance Abuse Rehabilitation Facility in West Haven, Connecticut
NPI 1801225388

Yolanda Dubose Woman Survival Foundation Llc is a Substance Abuse Rehabilitation Facility based in West Haven, CT. Yolanda Dubose Woman Survival Foundation Llc practices in West Haven, CT. The NPI Number for Yolanda Dubose Woman Survival Foundation Llc is 1801225388 and holds a License No. (Connecticut).

The current practice location address for Yolanda Dubose Woman Survival Foundation Llc is 105 W Prospect St, West Haven, CT and can be reached out via phone at 203-859-0313. You can also correspond with Yolanda Dubose Woman Survival Foundation Llc through the mailing address at 105 W PROSPECT ST, WEST HAVEN, CT - 06516-3540 (mailing address contact number: 203-859-0313).

Location: 105 W Prospect St, West Haven, CT, 06516-3540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801225388
Provider Name
Yolanda Dubose Woman Survival Foundation Llc
Credential
Provider Entity Type
Organization
Address
105 W Prospect St, West Haven, CT, 06516-3540
Phone Number
203-859-0313
Fax Number
Provider Enumeration Date
11/05/2013
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
105 W Prospect St
City
West Haven
State
Connecticut
Zip
06516-3540
Phone Number
203-859-0313
Fax Number
person
Provider Business Mailing Address Details
Address
105 W Prospect St
City
West Haven
State
Connecticut
Zip
06516-3540
Phone Number
203-859-0313
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(Connecticut)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
(Connecticut)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
(Connecticut)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
(Connecticut)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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