| Changing Faces Inc | |
|
4124 Odie Ln Santa Maria CA 93455-3109 | |
| (058) 938-0125 | |
| Not Available |
| Full Name | Changing Faces Inc |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 4124 Odie Ln, Santa Maria, California |
| Authorized Official Name and Position | Stephanie N. Cooks (HR DIRECTOR) |
| Authorized Official Contact | 8059375475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Faces Inc Po Box 2452 Santa Maria CA 93457-2452 Ph: (805) 260-1463 | Changing Faces Inc 4124 Odie Ln Santa Maria CA 93455-3109 Ph: (058) 938-0125 |
| NPI Number | 1043762883 |
|---|---|
| Provider Enumeration Date | 10/27/2016 |
| Last Update Date | 12/30/2024 |
| Certification Date | 12/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043762883 | NPI | - | NPPES |
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