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Organization

NATIONAL INSTITUTE FOR CHANGE, P.C.

Active
Parent organization
NATIONAL INSTITUTE FOR CHANGE, P.C.
Organization subpart
Yes

Provider details

NPI number
Legal business name
NATIONAL INSTITUTE FOR CHANGE, P.C.
Authorized official
DIANE MICHELLE KEELING (DIRECTOR OF OPERATIONS)
(303) 231-0090
Entity
Organization

Contact information

Practice address
1827 FEDERAL BLVD, DENVER, CO 80204-1724
(303) 231-0090
Mailing address
3225 S WADSWORTH BLVD UNIT T, LAKEWOOD, CO 80227-5009
(303) 231-0090

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
10/22/2020
Last updated
10/22/2020
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