| Choices & Changes | |
|
155 Diplomat Dr Suite C Columbia City IN 46725-1330 | |
| (260) 244-0264 | |
| (260) 244-1983 |
| Full Name | Choices & Changes |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 155 Diplomat Dr, Columbia City, Indiana |
| Authorized Official Name and Position | Jan C Boggs (PRESIDENT) |
| Authorized Official Contact | 2602488059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choices & Changes 20 Grove Park Dr Columbia City IN 46725-1812 Ph: (260) 248-8059 | Choices & Changes 155 Diplomat Dr Suite C Columbia City IN 46725-1330 Ph: (260) 244-0264 |
| NPI Number | 1194744383 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 06/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194744383 | NPI | - | NPPES |
| 200532500A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34000520A (Indiana) | Primary |
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