Organization
CHANGING FACES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE N. COOKS (HR DIRECTOR)
(805) 937-5475
Entity
Organization
Contact information
Practice address
4124 ODIE LN, SANTA MARIA, CA 93455-3109
(805) 938-0125
Mailing address
4124 ODIE LN, SANTA MARIA, CA 93455-3109
(805) 938-0125
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
251B00000X
Case Management Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
10/27/2016
Last updated
10/14/2025
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