# CENTER FOR POSITIVE CHANGES STAY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Positive Changes STAY 1
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659843118
- **Authorized official:** MS. DEANNA MELLOS (DIRECTOR)
- **Authorized official phone:** (619) 248-0552

## Contact information

- **Practice address:** 3482 SADDLE DR, SPRING VALLEY, CA 91977-2035
- **Practice address phone:** (619) 303-0812
- **Practice address fax:** (619) 660-6604
- **Mailing address:** 9628 CAMPO RD STE M, SPRING VALLEY, CA 91977-1233
- **Mailing address phone:** (619) 660-3886
- **Mailing address fax:** (619) 660-6604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 12/21/2018
- **Last updated:** 01/15/2019