# CHANGEPOINT INTEGRATED HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Woodland Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568821346
- **Authorized official:** MICHELE HOSPODKA (CONTRACTING AND CREDENTIALING)
- **Authorized official phone:** (928) 537-2951

## Contact information

- **Practice address:** 447 S WOODLAND LN, PINETOP, AZ 85935-7139
- **Practice address phone:** (928) 537-2951
- **Practice address fax:** (928) 892-5828
- **Mailing address:** 1801 W DEUCE OF CLUBS STE 100, SHOW LOW, AZ 85901-2704
- **Mailing address phone:** (928) 537-2951
- **Mailing address fax:** (928) 892-5828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | BH4759 | AZ | Yes |

## Other

- **Enumeration date:** 02/22/2016
- **Last updated:** 12/09/2016