Organization · Type 2 NPI

Changes Place

Community/Behavioral Health Agency · Rockford, IL

NPI number 1376707190 Active

Practice location

258 N Phelps Ave
Rockford, IL 61108-2433

Fax (815) 316-0698

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XA47410002A (IL)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1376707190

Changes Place's National Provider Identifier is 1376707190, issued on Jul 10, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Rockford, IL. The record was last updated on Jul 10, 2008.