WOMAN SURVIVAL
NPI 1801225388
Clinic/Center - Adult Mental Health in West Haven, CT

Active since November 05, 2013
105 W PROSPECT ST, WEST HAVEN, CT 06516(203) 859-0313 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Adult Mental Health

About WOMAN SURVIVAL

This page provides the complete NPI Profile along with additional information for Woman Survival, a provider established in West Haven, Connecticut operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1801225388 assigned on November 2013. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Woman Survival. The authorized official of this NPI record is Yolanda Dubose Owner (Ceo)

NPI
1801225388 Verify this NPI
Provider Legal Name
YOLANDA DUBOSE WOMAN SURVIVAL FOUNDATION LLC
Other Organization Name
WOMAN SURVIVAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
105 W PROSPECT ST WEST HAVEN, CT 06516
Location Phone
(203) 859-0313
Mailing Address
105 W PROSPECT ST WEST HAVEN, CT 06516
Mailing Phone
(203) 859-0313
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-05-2013
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
License State
CT
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

(CT)
2320800000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Mental Illness

(CT)
3324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

(CT)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

YOLANDA DUBOSE OWNER

Authorized Official Title
CEO
Authorized Official Phone
(203) 859-0313

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801225388, enumerated as an "organization" on November 05, 2013.

The provider is located at 105 W PROSPECT ST WEST HAVEN, CT 06516 and the phone number is (203) 859-0313.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.