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Organization

ONE CHANGE GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY TOPP (DIRECTOR OF OPERATIONS)
(208) 304-5499
Entity
Organization

Contact information

Practice address
710 W SUPERIOR ST STE C, SANDPOINT, ID 83864-1684
(208) 304-5499
(855) 978-1004
Mailing address
PO BOX 1121, SAGLE, ID 83860-1121
(208) 304-5499
(855) 978-1004

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
IDTPID013592
ID
Enumeration date
07/01/2019
Last updated
02/21/2024
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