Organization
OPPORTUNITY CHANGES COMMUNITIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED ROSHAN (OWNER)
(301) 675-9285
Entity
Organization
Contact information
Practice address
416 N MESA DRIVE, SUITE 120, MESA, AZ 85201
(301) 675-9285
Mailing address
17111 LONGLEAF DR, BOWIE, MD 20716-3636
(301) 675-9285
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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