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Organization

CENTER FOR POSITIVE CHANGE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATRICIA HANCOCK LCSW (EXECUTIVE DIRECTOR)
(574) 360-4066
Entity
Organization

Contact information

Practice address
501 N MAIN ST, SOUTH BEND, IN 46601-1020
(574) 360-2526
Mailing address
501 N MAIN ST, SOUTH BEND, IN 46601-1020
(574) 360-2526

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34004712A
IN

Other

Enumeration date
10/31/2012
Last updated
10/31/2012
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