Organization
TIME FOR CHANGE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM CARTER (EXECUTIVE DIRECTOR)
(909) 886-2994
Entity
Organization
Contact information
Practice address
1255 E HIGHLAND AVE, SUITE #211, SAN BERNARDINO, CA 92404-6804
(909) 886-2994
(909) 886-0218
Mailing address
PO BOX 25040, SAN BERNARDINO, CA 92406-0640
(909) 886-2994
(909) 886-0218
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
360071AN
CA
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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