| NPI | 1255584033 |
|---|---|
| Doing Business As | CHANGES |
| Entity Type | Organization |
| Authorized Contact | KWANYA SANDERS Executive Director 321-610-7949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |