Organization
CHALLENGE TO CHANGE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNAMARIE RIVERA LADC (OWNER)
(203) 909-0157
Entity
Organization
Contact information
Practice address
30 HAZEL TER STE 11C, WOODBRIDGE, CT 06525-2240
(203) 909-0157
(203) 903-5536
Mailing address
30 COVE BROOK RD, WEST HAVEN, CT 06516-4861
(203) 909-0157
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000963
CT
Other
Enumeration date
03/09/2014
Last updated
04/09/2014
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