Organization
DESIGN FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKI HUNTER (CFO)
(818) 497-8177
Entity
Organization
Contact information
Practice address
44501 16TH ST W, SUITE 101, LANCASTER, CA 93534-2884
(661) 945-5750
(661) 945-2317
Mailing address
1066 E AVENUE J, LANCASTER, CA 93535-3870
(661) 942-1026
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/23/2016
Last updated
04/13/2020
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