Changes Premier Health , LLC
Clinic/Center in Mckinney, TX. Organization (NPI-2).
NPI number1174089569
StatusActive
Last updated in NPPESFeb 11, 2019
Details
- NPI
- 1174089569
- Entity type
- Organization (NPI-2)
- Legal business name
- Changes Premier Health , LLC
- Organization subpart
- No
- Enumeration date
- Feb 11, 2019
- Last updated
- Feb 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Other names
- Changes Mckinney (Doing Business As)
Practice location
1820 N Lake Forest Dr Ste 100Mckinney, TX 75071-7653
Phone 469-634-1270 · Fax 469-634-1271
Mailing address
1820 N Lake Forest Dr Ste 100Mckinney, TX 75071-7653
Phone 469-634-1270 · Fax 469-634-1271
Authorized official
Samantha Castle
Market Ceo
9724280527
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