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Organization

COURAGE TO CHANGE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA R HURT-MORAN (DIRECTOR)
(509) 863-4233
Entity
Organization

Contact information

Practice address
13015 W 14TH AVE, AIRWAY HEIGHTS, WA 99001-9453
(509) 863-4233
Mailing address
13015 W 14TH AVE, AIRWAY HEIGHTS, WA 99001-9453
(509) 960-7938

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
251S00000X
Community/Behavioral Health Agency
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
06/09/2017
Last updated
09/15/2023
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