| Agents For Social Change Foundation | |
|
3030 S College Ave Ste 210 Fort Collins CO 80525 | |
| (970) 409-4500 | |
| (970) 409-4504 |
| Full Name | Agents For Social Change Foundation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3030 S College Ave, Fort Collins, Colorado |
| Authorized Official Name and Position | Kush Desai (PRESIDENT) |
| Authorized Official Contact | 9704094500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agents For Social Change Foundation 3030 S College Ave Ste 210 Fort Collins CO 80525 Ph: (970) 409-4500 | Agents For Social Change Foundation 3030 S College Ave Ste 210 Fort Collins CO 80525 Ph: (970) 409-4500 |
| NPI Number | 1851127211 |
|---|---|
| Provider Enumeration Date | 09/12/2024 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851127211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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