Organization
CHANGE TO COME
Active
Other names
Change To Come
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY CREER (CEO/EXECUTIVE DIRECTOR)
(415) 203-8493
Entity
Organization
Contact information
Practice address
685 32ND ST, OAKLAND, CA 94609-2987
(415) 996-5177
Mailing address
PO BOX 1712, SAN LEANDRO, CA 94577-0171
(415) 203-8493
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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