| Creative Change Therapy Center, A Clinical Social Worker Corp | |
|
1255 W Colton Ave # 614 Redlands CA 92374-2861 | |
| (760) 699-4199 | |
| Not Available |
| Full Name | Creative Change Therapy Center, A Clinical Social Worker Corp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1255 W Colton Ave # 614, Redlands, California |
| Authorized Official Name and Position | Xochitl Perez (PRESIDENT) |
| Authorized Official Contact | 7606994199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Change Therapy Center, A Clinical Social Worker Corp 1255 W Colton Ave # 614 Redlands CA 92374-2861 Ph: (760) 699-4199 | Creative Change Therapy Center, A Clinical Social Worker Corp 1255 W Colton Ave # 614 Redlands CA 92374-2861 Ph: (760) 699-4199 |
| NPI Number | 1063145142 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 03/26/2023 |
| Certification Date | 03/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063145142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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