| Change Reaction | |
|
4404 Queensbury Rd Ste 105 Riverdale MD 20737-1074 | |
| (240) 432-7659 | |
| (301) 864-1301 |
| Full Name | Change Reaction |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4404 Queensbury Rd Ste 105, Riverdale, Maryland |
| Authorized Official Name and Position | Kimberly M Green (OWNER/PROGRAM MANAGER) |
| Authorized Official Contact | 3018640919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Reaction 4404 Queensbury Rd Ste 105 Riverdale MD 20737-1074 Ph: (240) 432-7659 | Change Reaction 4404 Queensbury Rd Ste 105 Riverdale MD 20737-1074 Ph: (240) 432-7659 |
| NPI Number | 1275201758 |
|---|---|
| Provider Enumeration Date | 08/31/2021 |
| Last Update Date | 08/31/2021 |
| Certification Date | 07/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275201758 | NPI | - | NPPES |
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