Provider Demographics
NPI:1255059457
Name:TIME & CHANCE THERAPY CENTER
Entity type:Organization
Organization Name:TIME & CHANCE THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PRINCE
Authorized Official - Middle Name:
Authorized Official - Last Name:UZUKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-537-6038
Mailing Address - Street 1:32 MERRIMAR CT
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504-6065
Mailing Address - Country:US
Mailing Address - Phone:919-537-6038
Mailing Address - Fax:919-822-9595
Practice Address - Street 1:32 MERRIMAR CT
Practice Address - Street 2:
Practice Address - City:BENSON
Practice Address - State:NC
Practice Address - Zip Code:27504-6065
Practice Address - Country:US
Practice Address - Phone:919-537-6038
Practice Address - Fax:919-822-9595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty