NORTON STREET VA DOMICILARY (4663) INSTITUTION (4)

Name	Value
NAME	NORTON STREET VA DOMICILARY
STATE	CONNECTICUT
STREET ADDR. 1	84 NORTON ST
CITY	NEW HAVEN
ZIP	06511-4233
OFFICIAL VA NAME	NORTON STREET VA DOMICILARY
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 1 PARENT FACILITY PARENT OF ASSOCIATION: CONNECTICUT HCS
BILLING FACILITY NAME	NEW HAVEN 1 VA CARE SITE
EFFECTIVE DATE/TIME	2022-08-15 00:00:00 STATUS: ACTIVE NPI: 1578290920
TAXONOMY CODE	Residential Treatment Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	689BX
HISTORY