Organization
CHANGES YOUTH AND FAMILY SERVICES, INC.
Active
Organization
CHANGES YOUTH AND FAMILY SERVICES, INC.
Active
Other names
CHANGES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KWANYA SANDERS LMHC (EXECUTIVE DIRECTOR)
(321) 610-7949
Entity
Organization
Contact information
Practice address
3270 SUNTREE BLVD, SUITE 127, MELBOURNE, FL 32940-7530
(321) 610-7949
(321) 610-7947
Mailing address
3270 SUNTREE BLVD, SUITE 127, MELBOURNE, FL 32940-7530
(321) 610-7949
(321) 610-7947
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076875800
—
FL
Enumeration date
10/24/2008
Last updated
10/24/2008
Update your record
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