| NPI | 1568945749 |
|---|---|
| Doing Business As | CHANGES REHABILITATION LLC |
| Entity Type | Organization |
| Authorized Contact | SHIRLEY JANKOWSKI Program Director 269-358-7981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2020-12-08 |