| Changed By Christ Inc | |
|
5858 E Molloy Rd Ste 143 Syracuse NY 13211-2020 | |
| (518) 570-8202 | |
| Not Available |
| Full Name | Changed By Christ Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5858 E Molloy Rd Ste 143, Syracuse, New York |
| Authorized Official Name and Position | Colleen Manney (OWNER) |
| Authorized Official Contact | 5185708202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changed By Christ Inc 5858 E Molloy Rd Ste 143 Syracuse NY 13211-2020 Ph: (518) 570-8202 | Changed By Christ Inc 5858 E Molloy Rd Ste 143 Syracuse NY 13211-2020 Ph: (518) 570-8202 |
| NPI Number | 1548039654 |
|---|---|
| Provider Enumeration Date | 12/29/2023 |
| Last Update Date | 12/29/2023 |
| Certification Date | 12/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548039654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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