| Center For Positive Change, Inc | |
|
611 Lincoln Way E South Bend IN 46601-3220 | |
| (574) 360-4066 | |
| Not Available |
| Full Name | Center For Positive Change, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 611 Lincoln Way E, South Bend, Indiana |
| Authorized Official Name and Position | Patricia D Hancock (PRESIDENT) |
| 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 611 Lincoln Way E South Bend IN 46601-3220 Ph: (574) 360-4066 | Center For Positive Change, Inc 611 Lincoln Way E South Bend IN 46601-3220 Ph: (574) 360-4066 |
| NPI Number | 1558754838 |
|---|---|
| Provider Enumeration Date | 03/11/2015 |
| Last Update Date | 03/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558754838 | NPI | - | NPPES |
| 201146720 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 33007209A (Indiana) | Primary |
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