NPI 1033750526
Healing Waters/Life Changers LLC
Practice location
- Address
- 1229 Albany Ave STE 4, Hartford, CT 06112-2156
- Phone
- (860) 246-2323
Authorised official
- Name
- Jacqueline Phillips
- Title
- Owner
- Phone
- (860) 729-7239
Registered specialties (3)
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Adult Mental Health Clinic/Center
Children's Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1033750526
- Entity type
- Organization
- NPI issued
- 5 Oct 2019
- Record last updated
- 5 Oct 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.