| NPI | 1063187672 |
|---|---|
| Doing Business As | A WAVE OF CHANGE |
| Entity Type | Organization |
| Authorized Contact | ROSALIE ANNE SPINELLA Substance Abuse Recovery Counselor 203-441-0689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2021-08-16 |