# RELATIONSHIP CENTER FOR CHANGE A

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Relationship Center For Change A Marriage and Family Therapy PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689014615
- **Authorized official:** ROBERT BUTLER LCSW (VICE PRESIDENT)
- **Authorized official phone:** (707) 523-8009

## Contact information

- **Practice address:** 2455 BENNETT VALLEY RD STE C210, SANTA ROSA, CA 95404-5671
- **Practice address phone:** (707) 523-8009
- **Mailing address:** 40 4TH ST, \#224, PETALUMA, CA 94952-3040
- **Mailing address phone:** (707) 523-8009
- **Mailing address fax:** (707) 766-0556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2013
- **Last updated:** 06/30/2023