| Center For Positive Change, Inc | |
|
501 N Main St South Bend IN 46601-1020 | |
| (574) 360-2526 | |
| Not Available |
| Full Name | Center For Positive Change, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 501 N Main St, South Bend, Indiana |
| Authorized Official Name and Position | Patricia Hancock (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5743604066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Positive Change, Inc 501 N Main St South Bend IN 46601-1020 Ph: (574) 360-2526 | Center For Positive Change, Inc 501 N Main St South Bend IN 46601-1020 Ph: (574) 360-2526 |
| NPI Number | 1326392150 |
|---|---|
| Provider Enumeration Date | 10/31/2012 |
| Last Update Date | 10/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326392150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 34004712A (Indiana) | Primary |
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