| NPI | 1902614845 |
|---|---|
| Doing Business As | POWER OF CHANGE, LLC |
| Entity Type | Organization |
| Authorized Contact | DREATHA JEANA JACKSON CEO 618-623-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-24 |
| Last Update Date | 2025-06-05 |