Organization
CHANGES RECOVERY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN SUTTON RANGEL CADC (MANAGING MEMBER)
(775) 525-7300
Entity
Organization
Contact information
Practice address
2220 NEVADA WEST BLVD STE 2, PAHRUMP, NV 89048-5870
(775) 525-7300
Mailing address
PO BOX 117, PAHRUMP, NV 89041-0117
(775) 525-7300
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
04/10/2019
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