| The Change Llc | |
|
12125 Highway 6 Ste B Fresno TX 77545-8844 | |
| (832) 670-0635 | |
| Not Available |
| Full Name | The Change Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12125 Highway 6 Ste B, Fresno, Texas |
| Authorized Official Name and Position | Matthew C Ndukwe (OWNER) |
| Authorized Official Contact | 8326700635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Change Llc 6019 Acorn Valley Ln Richmond TX 77469-6241 Ph: (832) 670-0635 | The Change Llc 12125 Highway 6 Ste B Fresno TX 77545-8844 Ph: (832) 670-0635 |
| NPI Number | 1023858727 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 05/29/2024 |
| Certification Date | 05/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023858727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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