Provider Demographics
NPI:1720208606
Name:BENHAVEN INC
Entity Type:Organization
Organization Name:BENHAVEN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SPITERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-239-6425
Mailing Address - Street 1:187 HALF MILE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-4121
Mailing Address - Country:US
Mailing Address - Phone:203-239-6425
Mailing Address - Fax:203-239-1318
Practice Address - Street 1:187 HALF MILE RD
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-4121
Practice Address - Country:US
Practice Address - Phone:203-239-6425
Practice Address - Fax:203-239-1318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities