Organization Name: | THE CARE CENTER FOR CHANGE |
NPI Number: | 1114356821 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL CLARK (PRESIDENT) |
Mailing Address: | 1209 Corporate Dr Parsons |
State: | KS US |
Postal Code: | 673574952 |
Phone Number: | 6204216100 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2013 |
NPI Last Update Date: | 04/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |