Provider Demographics
NPI:1427194703
Name:CENTRAL NAUGATUCK VALLEY HELP, INC.
Entity Type:Organization
Organization Name:CENTRAL NAUGATUCK VALLEY HELP, INC.
Other - Org Name:GLENLUNAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURTAGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-756-8984
Mailing Address - Street 1:900 WATERTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708-2011
Mailing Address - Country:US
Mailing Address - Phone:203-756-8984
Mailing Address - Fax:203-756-8984
Practice Address - Street 1:107 TUDOR ST
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06704-3025
Practice Address - Country:US
Practice Address - Phone:203-754-5276
Practice Address - Fax:203-756-1648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCR007320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness