| NPI | 1073108254 |
|---|---|
| Doing Business As | CHANGE AZ |
| Entity Type | Organization |
| Authorized Contact | TIFFANY C RUELAZ CEO 623-632-9586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2024-02-21 |