Organization
CHANGE BEHAVIORAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SURESH PADMANABHAN (CEO)
(206) 818-0332
Entity
Organization
Contact information
Practice address
14336 GATEWOOD LN, FRISCO, TX 75035-1323
(206) 818-0332
Mailing address
14336 GATEWOOD LN, FRISCO, TX 75035-1323
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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