Organization · Type 2 NPI

Time for A Change Ministry

Substance Abuse Rehabilitation Facility · Bridgeport, CT

NPI number 1801201330 Active

Practice location

880 Hancock Ave
Bridgeport, CT 06605-1930

Fax (203) 923-8472

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X17053333309021 (CT)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1801201330

Time for A Change Ministry's National Provider Identifier is 1801201330, issued on Jun 23, 2014. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Bridgeport, CT. The record was last updated on Jun 23, 2014.