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
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