Changes Healing Center LLC
Substance Abuse Rehabilitation Facility in Scottsdale, AZ. Organization (NPI-2).
NPI number1619768603
StatusActive
Last updated in NPPESMay 16, 2025
Details
- NPI
- 1619768603
- Entity type
- Organization (NPI-2)
- Legal business name
- Changes Healing Center LLC
- Organization subpart
- No
- Enumeration date
- May 16, 2025
- Certification date
- May 16, 2025
- Last updated
- May 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | – | – |
Practice location
33101 N 82nd StScottsdale, AZ 85266-1316
Phone 602-290-1681
Mailing address
29 W Thomas Rd Ste 205Phoenix, AZ 85013-4412
Phone 602-290-1681
Authorized official
Johnathan Anderson
Ceo
6022901681
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