OrganizationActive
Healthcare Unit Southbury Training School
NPI 1205096054 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Southbury, CT
Provider details
- NPI number
- 1205096054
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Victor Waters, Medical Director(203) 586-2419
- License
- 046500 (CT)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 046500 (CT)
Residential Treatment Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Pierce Hollow Road
Southbury, CT 06488
Phone: (203) 586-4619
Approximate (ZIP-level) locationGet directions
Mailing address
1461 South Britain Road
Southbury, CT 06488
Registry dates
- Enumerated
- 2008-06-16
- Last updated
- 2008-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.