Organization
COURAGE TO CHANGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN GAMBINI (ADMINISTRATOR)
(559) 594-4855
Entity
Organization
Contact information
Practice address
1230 N ANDERSON RD, EXETER, CA 93221-9674
(559) 594-4855
(559) 594-0086
Mailing address
252 HIGH SIERRA DR, EXETER, CA 93221-9502
(559) 594-4855
(559) 594-0086
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
247200700
CA
3245S0500X
Children's Substance Abuse Rehabilitation Facility
540014BN
CA
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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