Organization
CHANGE SERVICES LLC
Active
Organization
CHANGE SERVICES LLC
Active
Other names
Change Services Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
PEG KINDA (CONSULTANT)
(507) 401-0419
Entity
Organization
Contact information
Practice address
1700 BROADWAY AVE N, ROCHESTER, MN 55906-4144
(612) 749-0227
Mailing address
1700 BROADWAY AVE N, ROCHESTER, MN 55906-4144
(612) 749-0227
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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