Organization
DESIGN FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKI HUNTER (CFO)
(661) 942-1026
Entity
Organization
Contact information
Practice address
44319 11TH ST E, LANCASTER, CA 93535-3855
(661) 942-1026
Mailing address
1066 E AVENUE J, LANCASTER, CA 93535-3870
(661) 942-1026
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190795AP
CA DEPARTMENT OF HEALTH CARE
CA
Enumeration date
04/14/2020
Last updated
04/14/2020
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