Organization · Type 2 NPI

Constructive Changes Licensed Clinical Social Worker Services

Community/Behavioral Health Agency · Champaign, IL

NPI number 1417630757 Active

Practice location

44 E Main St Ste 406
Champaign, IL 61820-3649

Mailing address

1717 W Kirby Ave Unit 306
Champaign, IL 61821-5507

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

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 1417630757

Constructive Changes Licensed Clinical Social Worker Services's National Provider Identifier is 1417630757, issued on Aug 14, 2023. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Champaign, IL. The record was last updated on Aug 14, 2023.