Changes Place
NPI #1376707190 in Rockford, Illinois
Provider Information
- NPI Number
- 1376707190
- Entity Type
- Organization
- Organization Name
- Changes Place
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 10, 2008
- Last Updated
- Jul 10, 2008
Practice Location
Authorized Official
- Name
- JACK PHILLIPS, CADC
- Title
- ADMINISTRATOR
- Phone
- (815) 316-0699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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