| Doctor Name: | MS. AMARYLLIS CHAVES |
| NPI Number: | 1295043933 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1007 N Main St Dayville, CT - 062412170 |
| Business Phone Number: | 8607742020 |
| Business Fax Number: | 8607742826 |
| Mailing Address: | 1007 N Main St, P O Box 839 DAYVILLE |
| State: | CT |
| Postal Code: | 062412170 |
| Phone Number: | 8607742020 |
| Fax Number: | 8607742826 |
| NPI Enumeration Date: | 09/15/2010 |
| NPI Last Update Date: | 02/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |