| Change Inc | |
|
1251 S Main St Middletown CT 06457-5050 | |
| (860) 346-0771 | |
| (860) 346-0772 |
| Full Name | Change Inc |
|---|---|
| Speciality | Case Management |
| Location | 1251 S Main St, Middletown, Connecticut |
| Authorized Official Name and Position | Derrick Christopher Gibbs (PRESIDENT / C.E.O.) |
| Authorized Official Contact | 8603460771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Inc 1251 S Main St Middletown CT 06457-5050 Ph: (860) 346-0771 | Change Inc 1251 S Main St Middletown CT 06457-5050 Ph: (860) 346-0771 |
| NPI Number | 1316203706 |
|---|---|
| Provider Enumeration Date | 04/10/2012 |
| Last Update Date | 05/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316203706 | NPI | - | NPPES |
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