Organization
CHANGES MH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DAVUTOGLU (MANAGING MEMBER)
(949) 873-2106
Entity
Organization
Contact information
Practice address
2787 BRISTOL ST, COSTA MESA, CA 92626-5956
(949) 227-0412
Mailing address
2787 BRISTOL ST, COSTA MESA, CA 92626-5956
(949) 227-0412
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
12/05/2024
Last updated
02/10/2026
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