Organization Name: | PATH TO POSITIVE CHANGE INC. |
NPI Number: | 1043653637 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AUDREY ANN ANSPACH (PRESIDENT/OWNER) |
Mailing Address: | 21 Se 8th Ter Deerfield Beach |
State: | FL US |
Postal Code: | 334414030 |
Phone Number: | 9542427914 |
Fax Number: | 9545310892 |
NPI Enumeration Date: | 04/12/2013 |
NPI Last Update Date: | 04/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW 10678 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |