Organization
CENTER FOR GROWTH AND CHANGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES ROBERT SPICER MS, MBA (PRESIDENT)
(714) 356-7061
Entity
Organization
Contact information
Practice address
1400 QUAIL ST, SUITE 210, NEWPORT BEACH, CA 92660-2730
(714) 356-7061
Mailing address
1400 QUAIL ST, SUITE 210, NEWPORT BEACH, CA 92660-2730
(949) 287-6638
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC50955
CA
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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