| NPI | 1053699124 |
|---|---|
| Other Name | CHANGE INSTITUTE CENTER |
| Entity Type | Organization |
| Authorized Contact | LORETTA LOVON HENDERSON Executive Director 832-741-9457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-07-23 |
| Last Update Date | 2011-07-23 |