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Organization

CHANGING LANES RECOVERY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFF GISHKIN LPC (CLINICAL DIRECTOR)
(808) 419-0446
Entity
Organization

Contact information

Practice address
6425 E BROADWAY BLVD, TUCSON, AZ 85710-3501
(520) 367-5255
(520) 372-8313
Mailing address
6425 E BROADWAY BLVD, TUCSON, AZ 85710-3501
(520) 367-5255
(520) 372-8313

Taxonomy

Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary

Other

Enumeration date
01/31/2023
Last updated
01/31/2023
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