| 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 | Community/behavioral Health |
| Location | 611 Lincoln Way E, South Bend, Indiana |
| Authorized Official Name and Position | Patricia Hancock (LCSW /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 | 1831584788 |
|---|---|
| Provider Enumeration Date | 03/30/2015 |
| Last Update Date | 03/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831584788 | NPI | - | NPPES |
| 201146720A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 33007137A (Indiana) | Primary |
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