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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