| NPI | 1578960480 |
|---|---|
| Doing Business As | CHANGES 1, LLC |
| Entity Type | Organization |
| Authorized Contact | NAOMI DIANA TAYLOR Vice President 313-695-3951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MI SA0823228) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2015-03-03 |