Organization
CHANGES WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA LIPTON LMFT (EXECUTIVE DIRECTOR)
(747) 343-9523
Entity
Organization
Contact information
Practice address
17070 LASSEN ST, NORTHRIDGE, CA 91325-1941
(747) 343-9523
Mailing address
17070 LASSEN ST, NORTHRIDGE, CA 91325-1941
(747) 343-9523
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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