Organization
CHANGEPOINT INTEGRATED HEALTH
Active
Organization
CHANGEPOINT INTEGRATED HEALTH
Active
Other names
Community Counseling Centers Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY OAKES MBA (CEO)
(928) 537-2951
Entity
Organization
Contact information
Practice address
1801 W DEUCE OF CLUBS, SUITE 100, SHOW LOW, AZ 85901-2705
(928) 537-2951
(928) 892-5828
Mailing address
1801 W DEUCE OF CLUBS, SUITE 100, SHOW LOW, AZ 85901-2705
(928) 537-2951
(928) 892-5828
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
BH140
AZ
251S00000X
Community/Behavioral Health Agency
BH3321
AZ
251S00000X
Community/Behavioral Health Agency
BH4058
AZ
251S00000X
Community/Behavioral Health Agency
Primary
BH806
AZ
283Q00000X
Psychiatric Hospital
SH4758
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003450
—
AZ
05
—
007460
—
AZ
05
—
117138
—
AZ
05
—
505143
—
AZ
05
—
740227
—
AZ
Enumeration date
12/07/2012
Last updated
12/09/2016
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