OrganizationActive
Time for a Change Ministry
NPI 1801201330 · Substance Abuse Rehabilitation Facility · Bridgeport, CT
Provider details
- NPI number
- 1801201330
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- Lou Holiday, Supervisor
- License
- 17053333309021 (CT)
Practice location
880 Hancock Ave
Bridgeport, CT 06605-1930
Phone: (203) 818-5091
Fax: (203) 923-8472
Mailing address
880 Hancock Ave
Bridgeport, CT 06605-1930
Registry dates
- Enumerated
- 2014-06-23
- Last updated
- 2014-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.