Organization
CENTER FOR POSITIVE CHANGE, INC.
Active
Organization
CENTER FOR POSITIVE CHANGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA HANCOCK (LCSW /PRESIDENT)
(574) 360-4066
Entity
Organization
Contact information
Practice address
611 LINCOLN WAY E, SOUTH BEND, IN 46601-3220
(574) 360-4066
Mailing address
611 LINCOLN WAY E, SOUTH BEND, IN 46601-3220
(574) 360-4066
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
33007137A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201146720A
—
IN
Enumeration date
03/30/2015
Last updated
03/30/2015
Update your record
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