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Contact Information

COURAGE TO CHANGE, INC.
1230 N ANDERSON RD
EXETER, CA93221-9674
 Phone: 559-594-4855
 Fax: 559-594-0086
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foster Care Agency

253J00000X
 

Substance Abuse Treatment, Children

3245S0500X
Indicates primary specialty

NPI Profile & details for COURAGE TO CHANGE, INC.

NPI # 1912368176
LBN Legal business name COURAGE TO CHANGE, INC.
Authorized official SUSAN GAMBINI - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/16/2016
Last updated 03/16/2016 - About 10 years ago
Identifiers
CA License # 247200700
CA License # 540014BN
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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