# A-MAKING CHANGES

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

## Provider details

- **NPI number:** 1780245506
- **Authorized official:** ALLEN JETER PHD (CEO)
- **Authorized official phone:** (480) 521-4815

## Contact information

- **Practice address:** 1010 W EUCLID AVE, PHOENIX, AZ 85041-8345
- **Practice address phone:** (480) 521-4815
- **Mailing address:** 2942 N 24TH ST \# 114-766, PHOENIX, AZ 85016-7844
- **Mailing address phone:** (480) 521-4815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/24/2019
- **Last updated:** 09/06/2023