Organization
CHANGEPOINT INTEGRATED HEALTH
Active
Organization
CHANGEPOINT INTEGRATED HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA A STUART (CHIEF OPERATING OFFICER)
(928) 537-5315
Entity
Organization
Contact information
Practice address
2550 SHOW LOW LAKE ROAD, SHOW LOW, AZ 85901-7929
(928) 532-5838
(928) 892-5828
Mailing address
1801 W DEUCE OF CLUBS STE 100, SHOW LOW, AZ 85901-2704
(928) 532-5838
(928) 892-5828
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BH7728
—
AZ
Enumeration date
09/07/2022
Last updated
09/07/2022
Update your record
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