# CREATE REALISTIC CHANGE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699246272
- **Authorized official:** MS. CALIFIA ABWOON RECOVERY PRACTIONER (FOUNDER AND DIRECTOR)
- **Authorized official phone:** (424) 222-1795

## Contact information

- **Practice address:** 1873 W 54TH ST, LOS ANGELES, CA 90062-2604
- **Practice address phone:** (424) 222-1795
- **Mailing address:** 531 MAIN ST STE 1132, EL SEGUNDO, CA 90245-3060
- **Mailing address phone:** (424) 222-1795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 225400000X | Rehabilitation Practitioner | — | NULL | — |
| 225400000X | Rehabilitation Practitioner | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/07/2018
- **Last updated:** 10/21/2019