| The Center For Behavior Change, Inc | |
|
7676 Hazard Center Dr Ste 500 San Diego CA 92108-4508 | |
| (619) 876-8261 | |
| Not Available |
| Full Name | The Center For Behavior Change, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7676 Hazard Center Dr Ste 500, San Diego, California |
| Authorized Official Name and Position | Brandy Diane Macy (PRESIDENT AND CEO) |
| Authorized Official Contact | 6198768261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Behavior Change, Inc 7676 Hazard Center Dr Ste 500 San Diego CA 92108-4508 Ph: (619) 876-8261 | The Center For Behavior Change, Inc 7676 Hazard Center Dr Ste 500 San Diego CA 92108-4508 Ph: (619) 876-8261 |
| NPI Number | 1003240235 |
|---|---|
| Provider Enumeration Date | 08/23/2013 |
| Last Update Date | 08/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003240235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY 20536 (California) | Primary |
| 252Y00000X | Early Intervention Provider Agency | PSY 20536 (California) | Secondary |
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