NPI 1205096054

Healthcare Unit Southbury Training School

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Southbury, CT

Practice location

Address: 1 Pierce Hollow Road, Southbury, CT 06488
Phone: (203) 586-4619
Mailing address: 1461 South Britain Road, Southbury, CT 06488

Authorised official

Name: Victor Virgil Waters
Title: Medical Director
Phone: (203) 586-2419

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 046500 (CT)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Connecticut →

Registry record

NPI: 1205096054
Entity type: Organization
NPI issued: 16 Jun 2008
Record last updated: 28 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.