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Organization
CENTER FOR POSITIVE CHANGE, INC
Active
Organization
CENTER FOR POSITIVE CHANGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA HANCOCK LCSW (EXECUTIVE DIRECTOR)
(574) 360-4066
Entity
Organization
Contact information
Practice address
501 N MAIN ST, SOUTH BEND, IN 46601-1020
(574) 360-2526
Mailing address
501 N MAIN ST, SOUTH BEND, IN 46601-1020
(574) 360-2526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34004712A
IN
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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