Organization · Type 2 NPI

Changing Phases Behavioral Support, Inc

Community/Behavioral Health Agency · Marietta, GA

NPI number 1497094205 Active

Practice location

3655 Canton Rd Ste 201
Marietta, GA 30066

Fax (707) 702-5966

Mailing address

3655 Canton Rd
Marietta, GA 30066-2690

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X25937 (GA)
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…

5 other providers at this address

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About NPI 1497094205

Changing Phases Behavioral Support, Inc's National Provider Identifier is 1497094205, issued on Feb 14, 2013. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Marietta, GA. The record was last updated on Aug 17, 2018.