Organization Name: | CENTER FOR POSITIVE CHANGE, INC. |
NPI Number: | 1104909332 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLYN KAY HOWARD-BIRKENMAIER (OWNER/PRESIDENT) |
Mailing Address: | 1607 Professional Cir Yukon |
State: | OK US |
Postal Code: | 730996314 |
Phone Number: | 4053547779 |
Fax Number: | 4052652553 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |