Organization
CHANGING ECHOES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JR MAUGHAN (EXECUTIVE DIRECTOR)
(209) 785-3667
Entity
Organization
Contact information
Practice address
7632 POOL STATION RD, ANGELS CAMP, CA 95222-9620
(209) 785-3667
(209) 785-5238
Mailing address
7632 POOL STATION RD, ANGELS CAMP, CA 95222-9620
(209) 785-3667
(209) 785-5238
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
050002AN
CA
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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