Organization
CHANGEPOINT INTEGRATED HEALTH
Active
Other names
Community Counseling Centers Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY OAKES MBA (CHIEF EXECUTIVE OFFICER)
(928) 537-2951
Entity
Organization
Contact information
Practice address
1015 E. SECOND ST., WINSLOW, AZ 86047
(928) 537-2951
(928) 892-5828
Mailing address
1801 W DEUCE OF CLUBS, SUITE 100, SHOW LOW, AZ 85901-2705
(928) 537-2951
(928) 892-5828
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
OTC6042
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
426191
—
AZ
Enumeration date
05/01/2009
Last updated
12/09/2016
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