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Organization

CENTER FOR CHANGE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA K KNAUB (OWNER)
(303) 274-4200
Entity
Organization

Contact information

Practice address
1701 KIPLING ST, SUITE102, LAKEWOOD, CO 80215-2848
(303) 274-4200
Mailing address
1701 KIPLING ST, SUITE102, LAKEWOOD, CO 80215-2848

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
155201
CO
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
49484729
CO
Enumeration date
03/09/2015
Last updated
04/24/2023
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