Creative Change Therapy Center, A Clinical Social Worker Corp
Clinic/Center, Mental Health (Including Community Mental Health Center) in Redlands, CA. Organization (NPI-2).
NPI number1063145142
StatusActive
Last updated in NPPESMar 26, 2023
Details
- NPI
- 1063145142
- Entity type
- Organization (NPI-2)
- Legal business name
- Creative Change Therapy Center, A Clinical Social Worker Corp
- Organization subpart
- No
- Enumeration date
- Jul 6, 2022
- Certification date
- Mar 26, 2023
- Last updated
- Mar 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
1255 W Colton Ave # 614Redlands, CA 92374-2861
Phone 760-699-4199
Mailing address
1255 W Colton Ave # 614Redlands, CA 92374-2861
Phone 760-699-4199
Authorized official
Xochitl Perez
President
7606994199
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