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
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 17053333309021 (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.
Other substance abuse rehabilitation facility providers in Bridgeport
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.