Organization
CENTER FOR CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA K KNAUB (OWNER)
(303) 274-4200
Entity
Organization
Contact information
Practice address
6279 W 38TH AVE, 2, WHEAT RIDGE, CO 80033-6905
(303) 422-4126
Mailing address
1701 KIPLING ST, LAKEWOOD, CO 80215-2848
(303) 274-4200
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
155202
CO
Other
Enumeration date
11/04/2014
Last updated
03/09/2023
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