Organization · Type 2 NPI
Opportunity Changes Communities LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Mesa, AZ
NPI number
1629792361
Active
Practice location
416 N Mesa Drive, Suite 120
Mesa, AZ 85201
Mailing address
17111 Longleaf Dr
Bowie, MD 20716-3636
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1629792361
Opportunity Changes Communities LLC's National Provider Identifier is 1629792361, issued on Sep 27, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Mesa, AZ. The record was last updated on Sep 27, 2022.