Organization
OPTIMA CHANGE MANAGEMENT, LLC
Active
Other names
Optima Healing and Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SMITH (MANAGER)
(805) 550-3837
Entity
Organization
Contact information
Practice address
1389 GALLERIA DR STE 110, HENDERSON, NV 89014-6686
(805) 550-3837
Mailing address
1389 GALLERIA DR STE 110, HENDERSON, NV 89014-6686
(805) 550-3837
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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