Creating Change

NPI #1609236041 in Yukon, Oklahoma

Provider Information

NPI Number: 1609236041
Entity Type: Organization
Organization Name: Creating Change
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 27, 2016
Last Updated: Mar 5, 2016

Practice Location

Address: 373 S YUKON PKWY
Address 2: SUITE B
City: Yukon
State: Oklahoma
ZIP Code: 73099-4596
Phone: (405) 265-0986

Authorized Official

Name: MR. VINH THE NGUYEN
Title: CEO
Phone: (405) 474-6741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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