| NPI | 1598452948 |
|---|---|
| Doing Business As | CHANGE SERVICES RECOVERY |
| Entity Type | Organization |
| Authorized Contact | PEG KINDA Consultant 507-401-0419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |