Organization
CHANGEPOINT INTEGRATED HEALTH
Active
Other names
Community Counseling Centers, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY OAKES MBA (CHIEF EXECUTIVE OFFICER)
(928) 537-2951
Entity
Organization
Contact information
Practice address
103 N 1ST AVE, HOLBROOK, AZ 86025-2817
(928) 537-2951
(928) 892-5828
Mailing address
1801 W DEUCE OF CLUBS STE 100, SHOW LOW, AZ 85901-2704
(928) 537-2951
(928) 892-5828
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
OTC6041
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003450
AHCCCS
AZ
Enumeration date
06/08/2006
Last updated
09/04/2022
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