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Contact Information

CHANGE INC
1251 S MAIN ST
MIDDLETOWN, CT06457-5050
 Phone: 860-346-0771
 Fax: 860-346-0772
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Preferred Provider Organization

305R00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for CHANGE INC

NPI # 1316203706
LBN Legal business name CHANGE INC
Authorized official DERRICK GIBBS - (PRESIDENT / C.E.O.)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2012
Last updated 05/13/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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