| NPI | 1881293215 |
|---|---|
| Doing Business As | OREGAN CHANGE CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHANNON JONES Owner/CEO 909-455-4838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261Q00000X |
| 261QC1500X Clinic/Center, Community Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2024-01-11 |