Organization
CULTURE CHANGE PROJECT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMSEY CHAMPAGNE LMHC (DIRECTOR)
(479) 595-4077
Entity
Organization
Contact information
Practice address
1158 MASSACHUSETTS AVE UNIT 306, CAMBRIDGE, MA 02138-5205
(617) 402-5653
Mailing address
82 NORMANDY AVE, CAMBRIDGE, MA 02138-1017
(479) 595-4077
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548520729
—
AR
Enumeration date
06/21/2019
Last updated
06/21/2019
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