Time to Change LLC
NPI #1346633955 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1346633955
- Entity Type
- Organization
- Organization Name
- Time to Change LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 7, 2015
- Last Updated
- Mar 7, 2015
Practice Location
- Address
- 8609 LYNDALE AVE S
- Address 2
- #110
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55420-2754
- Phone
- (952) 358-1009
Authorized Official
- Name
- ALLEN JEROME JOHNSON, MA LADC
- Title
- CEO
- Phone
- (952) 484-5401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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