| Culture Change Project, Llc | |
|
1158 Massachusetts Ave Unit 306 Cambridge MA 02138-5205 | |
| (617) 402-5653 | |
| Not Available |
| Full Name | Culture Change Project, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1158 Massachusetts Ave Unit 306, Cambridge, Massachusetts |
| Authorized Official Name and Position | Ramsey Champagne (DIRECTOR) |
| Authorized Official Contact | 4795954077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Culture Change Project, Llc 82 Normandy Ave Cambridge MA 02138-1017 Ph: (479) 595-4077 | Culture Change Project, Llc 1158 Massachusetts Ave Unit 306 Cambridge MA 02138-5205 Ph: (617) 402-5653 |
| NPI Number | 1659932515 |
|---|---|
| Provider Enumeration Date | 06/21/2019 |
| Last Update Date | 06/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659932515 | NPI | - | NPPES |
| 1548520729 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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