Organization
OPPORTUNITY CHANGES COMMUNITIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED ROSHAN (BEHAVIORAL TECHNICIAN/OWNER)
(301) 675-9285
Entity
Organization
Contact information
Practice address
460 N MESA DR STE 120, MESA, AZ 85201-5974
(301) 675-9285
Mailing address
460 N MESA DR STE 120, MESA, AZ 85201-5974
(301) 675-9285
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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