Organization
CREATIVE CHANGE THERAPY CENTER, A CLINICAL SOCIAL WORKER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XOCHITL PEREZ LCSW (PRESIDENT)
(760) 699-4199
Entity
Organization
Contact information
Practice address
1255 W COLTON AVE # 614, REDLANDS, CA 92374-2861
(760) 699-4199
Mailing address
1255 W COLTON AVE # 614, REDLANDS, CA 92374-2861
(760) 699-4199
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
03/26/2023
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