Change Inc. | |
381 Robie St E Saint Paul MN 55107-2415 | |
(651) 222-0757 | |
(651) 290-2703 |
Full Name | Change Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 381 Robie St E, Saint Paul, Minnesota |
Authorized Official Name and Position | Jo A. Nelson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6512220757 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Change Inc. 381 Robie St E Saint Paul MN 55107-2415 Ph: (651) 222-0757 | Change Inc. 381 Robie St E Saint Paul MN 55107-2415 Ph: (651) 222-0757 |
NPI Number | 1679918833 |
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Provider Enumeration Date | 05/01/2013 |
Last Update Date | 05/26/2020 |
Certification Date | 05/26/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679918833 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 2186 (Minnesota) | Primary |
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