Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI Number | 1396189957 |
| LBN Legal business name | CHANGEPOINT, LLC |
| Authorized official | BEVERLY FOWLER - (EXECUTIVE DIRECTOR/ OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/24/2013 |
| Last updated | 06/23/2016 - About 10 years ago |
| Identifiers | n/a |
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