Organization
TIME FOR A CHANGE MINISTRY
Active
Organization
TIME FOR A CHANGE MINISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOU HOLIDAY (SUPERVISOR)
(203) 818-5091
Entity
Organization
Contact information
Practice address
880 HANCOCK AVE, BRIDGEPORT, CT 06605-1930
(203) 818-5091
(203) 923-8472
Mailing address
880 HANCOCK AVE, BRIDGEPORT, CT 06605-1930
(203) 818-5091
(203) 923-8472
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
17053333309021
CT
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up