| A Wave Of Change | |
|
1138 W Main St Waterbury CT 06708-2730 | |
| (860) 631-7303 | |
| Not Available |
| Full Name | A Wave Of Change |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1138 W Main St, Waterbury, Connecticut |
| Authorized Official Name and Position | Rosalie Anne Spinella (SUBSTANCE ABUSE RECOVERY COUNSELOR) |
| Authorized Official Contact | 8606317303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Wave Of Change 1138 W Main St Waterbury CT 06708-2730 Ph: (860) 631-7303 | A Wave Of Change 1138 W Main St Waterbury CT 06708-2730 Ph: (860) 631-7303 |
| NPI Number | 1063187672 |
|---|---|
| Provider Enumeration Date | 08/16/2021 |
| Last Update Date | 06/17/2025 |
| Certification Date | 06/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063187672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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