| Time To Restore Inc | |
|
26 Burnwood Dr Bloomfield CT 06002-2202 | |
| (860) 513-2850 | |
| Not Available |
| Full Name | Time To Restore Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 26 Burnwood Dr, Bloomfield, Connecticut |
| Authorized Official Name and Position | Kate Deciccio (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2034440511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Time To Restore Inc 26 Burnwood Dr Bloomfield CT 06002-2202 Ph: (860) 513-2850 | Time To Restore Inc 26 Burnwood Dr Bloomfield CT 06002-2202 Ph: (860) 513-2850 |
| NPI Number | 1710684881 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 02/09/2023 |
| Certification Date | 02/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710684881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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