| NPI | 1174373179 |
|---|---|
| Doing Business As | COMMUNITY CHANGE CENTER |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA BURGETT Executive Director 765-430-8952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |