# GAME CHANGER GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Game Changer Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528884681
- **Authorized official:** JUSTIN JORY MHA (PRACTICE MANAGER)
- **Authorized official phone:** (480) 788-8466

## Contact information

- **Practice address:** 16601 N 40TH ST STE 216, PHOENIX, AZ 85032-3354
- **Practice address phone:** (480) 788-8466
- **Mailing address:** 16601 N 40TH ST STE 216, PHOENIX, AZ 85032-3354
- **Mailing address phone:** (480) 788-8466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 11/22/2024
- **Last updated:** 12/06/2024