| Center For Change & Growth Plc | |
|
816 E Michigan Ave Ste 101 Paw Paw MI 49079-1462 | |
| (269) 657-5800 | |
| (269) 657-8939 |
| Full Name | Center For Change & Growth Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 816 E Michigan Ave Ste 101, Paw Paw, Michigan |
| Authorized Official Name and Position | Susan Marie Carter (CLINICAL DIRECTOR OWNER) |
| Authorized Official Contact | 2696575800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Change & Growth Plc 816 E Michigan Ave Ste 101 Paw Paw MI 49079 Ph: (269) 657-5800 | Center For Change & Growth Plc 816 E Michigan Ave Ste 101 Paw Paw MI 49079-1462 Ph: (269) 657-5800 |
| NPI Number | 1649459132 |
|---|---|
| Provider Enumeration Date | 10/31/2007 |
| Last Update Date | 11/19/2011 |
| Medicare PECOS PAC ID | 7012986433 |
|---|---|
| Medicare Enrollment ID | O20041001000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649459132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Susan M Carter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427032861 PECOS PAC ID: 5193794519 Enrollment ID: I20041007000006 |
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