Organization
CHANGEPOINT INTEGRATED HEALTH
Active
Parent organization
CHANGEPOINT INTEGRATED HEALTH
Other names
ChangePoint Integrated Health-CSU
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHANGEPOINT INTEGRATED HEALTH
Authorized official
MICHELE HOSPODKA (BILLING / CREDENTIALING)
(928) 537-2951
Entity
Organization
Contact information
Practice address
1920 WEST COMMERCE DR, LAKESIDE, AZ 85929
(928) 368-4110
(928) 892-5828
Mailing address
1801 W DEUCE OF CLUBS STE 100, SHOW LOW, AZ 85901-2704
(928) 537-2951
(928) 892-5828
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
786444
—
AZ
Enumeration date
11/20/2019
Last updated
11/20/2019
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