Organization
CENTER FOR POSITIVE CHANGES STAY
Active
Other names
Center for Positive Changes STAY 1
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEANNA MELLOS (DIRECTOR)
(619) 248-0552
Entity
Organization
Contact information
Practice address
3482 SADDLE DR, SPRING VALLEY, CA 91977-2035
(619) 303-0812
(619) 660-6604
Mailing address
9628 CAMPO RD STE M, SPRING VALLEY, CA 91977-1233
(619) 660-3886
(619) 660-6604
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
01/15/2019
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