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Change Within Reach INC

Clinic/Center, Adult Mental Health in Encino, CA. Organization (NPI-2).

NPI number1003207002
StatusActive
Last updated in NPPESApr 26, 2024

Details

NPI
1003207002
Entity type
Organization (NPI-2)
Legal business name
Change Within Reach INC
Organization subpart
No
Enumeration date
Feb 11, 2015
Certification date
Apr 26, 2024
Last updated
Apr 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental HealthLCSW28777CAYes
1041C0700X Social Worker, Clinical––
106H00000X Marriage & Family Therapist––

Practice location

17777 Ventura Blvd Ste 105
Encino, CA 91316

Phone 213-445-2266 · Fax 213-908-1233

Mailing address

17777 Ventura Blvd Ste 105
Encino, CA 91316-3738

Phone 213-445-2266 · Fax 213-908-1233

Authorized official

Anna Gershelis
President
2134452266

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