Organization
CENTER FOR CHANGE & GROWTH PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARIE CARTER PHD (CLINICAL DIRECTOR OWNER)
(269) 657-5800
Entity
Organization
Contact information
Practice address
816 E MICHIGAN AVE STE 101, PAW PAW, MI 49079-1462
(269) 657-5800
(269) 657-8939
Mailing address
816 E MICHIGAN AVE STE 101, PAW PAW, MI 49079
(269) 657-5800
(269) 657-8939
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/31/2007
Last updated
11/19/2011
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