| Be The Change In Mental Health | |
|
2800 Cleveland Ave Ste C Santa Rosa CA 95403-2784 | |
| (555) 555-5555 | |
| Not Available |
| Full Name | Be The Change In Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 2800 Cleveland Ave Ste C, Santa Rosa, California |
| Authorized Official Name and Position | Michelle Kelley Crippen (DIRECTOR OF INSURANCE/ FINANCES) |
| Authorized Official Contact | 5306802810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Be The Change In Mental Health 2800 Cleveland Ave Ste A Santa Rosa CA 95403-2784 Ph: () - | Be The Change In Mental Health 2800 Cleveland Ave Ste C Santa Rosa CA 95403-2784 Ph: (555) 555-5555 |
| NPI Number | 1508441403 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/12/2024 |
| Medicare PECOS PAC ID | 9638511330 |
|---|---|
| Medicare Enrollment ID | O20240528000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508441403 | NPI | - | NPPES |
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