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Be The Change In Mental Health
Substance Use Disorder Rehabilitation Clinic/Center in Santa Rosa, California
NPI 1508441403

Be The Change In Mental Health is a Substance Use Disorder Rehabilitation Clinic/Center based in Santa Rosa, CA and is specialized in Rehabilitation, Substance Use Disorder. Be The Change In Mental Health practices in Santa Rosa, CA. The NPI Number for Be The Change In Mental Health is 1508441403 and holds a License No. (California).

The current practice location address for Be The Change In Mental Health is 2800 Cleveland Ave Ste C, Santa Rosa, CA and can be reached out via phone at 555-555-5555.

Location: 2800 Cleveland Ave Ste C, Santa Rosa, CA, 95403-2784
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508441403
Provider Name
Be The Change In Mental Health
Credential
Provider Entity Type
Organization
Address
2800 Cleveland Ave Ste C, Santa Rosa, CA, 95403-2784
Phone Number
555-555-5555
Fax Number
Provider Enumeration Date
03/11/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2800 Cleveland Ave Ste C
City
Santa Rosa
State
California
Zip
95403-2784
Phone Number
555-555-5555
Fax Number
person
Provider Business Mailing Address Details
Address
2800 Cleveland Ave Ste C
City
Santa Rosa
State
California
Zip
95403-2784
Phone Number
555-555-5555
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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