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Center For Change, LLC

Clinic/Center, Rehabilitation, Substance Use Disorder in Lakewood, CO. Organization (NPI-2).

NPI number1922491497
StatusActive
Last updated in NPPESApr 24, 2023

Details

NPI
1922491497
Entity type
Organization (NPI-2)
Legal business name
Center For Change, LLC
Organization subpart
No
Enumeration date
Mar 9, 2015
Certification date
Apr 24, 2023
Last updated
Apr 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)155201CO

Practice location

1701 Kipling St
Suite102
Lakewood, CO 80215-2848

Phone 303-274-4200

Mailing address

1701 Kipling St
Suite102
Lakewood, CO 80215-2848

Authorized official

Debra K Knaub
Owner
3032744200

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