Organization
CHANGES HEALING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNATHAN ANDERSON (CEO)
(602) 290-1681
Entity
Organization
Contact information
Practice address
9004 S 8TH DR, PHOENIX, AZ 85041-8319
(602) 290-1681
Mailing address
PO BOX 4201, SCOTTSDALE, AZ 85261-4201
(602) 290-1681
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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