Organization
CHANGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK CHRISTOPHER GIBBS JR. (PRESIDENT / C.E.O.)
(860) 346-0771
Entity
Organization
Contact information
Practice address
1251 S MAIN ST, MIDDLETOWN, CT 06457-5050
(860) 346-0771
(860) 346-0772
Mailing address
1251 S MAIN ST, MIDDLETOWN, CT 06457-5050
(860) 346-0771
(860) 346-0772
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
CT
1041C0700X
Clinical Social Worker
—
CT
251B00000X
Case Management Agency
Primary
—
CT
305R00000X
Preferred Provider Organization
—
—
Other
Enumeration date
04/10/2012
Last updated
05/13/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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