| Challenge To Change Counseling Services Llc | |
|
30 Hazel Ter Ste 11c Woodbridge CT 06525-2240 | |
| (203) 909-0157 | |
| (203) 903-5536 |
| Full Name | Challenge To Change Counseling Services Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 30 Hazel Ter Ste 11c, Woodbridge, Connecticut |
| Authorized Official Name and Position | Donnamarie Rivera (OWNER) |
| Authorized Official Contact | 2039090157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Challenge To Change Counseling Services Llc 30 Cove Brook Rd West Haven CT 06516-4861 Ph: (203) 909-0157 | Challenge To Change Counseling Services Llc 30 Hazel Ter Ste 11c Woodbridge CT 06525-2240 Ph: (203) 909-0157 |
| NPI Number | 1306262894 |
|---|---|
| Provider Enumeration Date | 03/09/2014 |
| Last Update Date | 04/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306262894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000963 (Connecticut) | Primary |
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