Organization
PATH FOR CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDE MUJYANAMA (MEMBER)
(512) 679-3381
Entity
Organization
Contact information
Practice address
2502 E UNIVERSITY DR STE 240, PHOENIX, AZ 85034-6956
(512) 679-3381
Mailing address
2502 E UNIVERSITY DR STE 240, PHOENIX, AZ 85034-6956
(512) 679-3381
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
10/27/2023
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