| Center For Growth And Change, Inc. | |
|
1400 Quail St Suite 210 Newport Beach CA 92660-2730 | |
| (714) 356-7061 | |
| Not Available |
| Full Name | Center For Growth And Change, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1400 Quail St, Newport Beach, California |
| Authorized Official Name and Position | Charles Robert Spicer (PRESIDENT) |
| Authorized Official Contact | 7143567061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Growth And Change, Inc. 1400 Quail St Suite 210 Newport Beach CA 92660-2730 Ph: (949) 287-6638 | Center For Growth And Change, Inc. 1400 Quail St Suite 210 Newport Beach CA 92660-2730 Ph: (714) 356-7061 |
| NPI Number | 1477958338 |
|---|---|
| Provider Enumeration Date | 11/04/2014 |
| Last Update Date | 11/04/2014 |
| Medicare PECOS PAC ID | 6204364029 |
|---|---|
| Medicare Enrollment ID | O20250107003835 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477958338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MFC50955 (California) | Primary |
| Provider Name | Charles R Spicer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023455532 PECOS PAC ID: 2567990385 Enrollment ID: I20250221001130 |
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