Changes Place

LBN: Changes Place
Changes Place is an health care organization with primary practice located at 258 N Phelps Ave , Rockford IL 61108-2433. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Changes Place can be contacted via phone (815) 316-0699, or through Phillips, Jack via phone (815) 316-0699.

Contact Information

Primary practice address
258 N Phelps Ave Rockford IL 61108-2433
Phone: (815) 316-0699
Fax: (815) 316-0698
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Jack CADC
Phone: (815) 316-0699

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X A47410002A Illinois

Profile Details

NPI number 1376707190
LBN Legal business name Changes Place
DBA Doing business as
Authorized official Phillips, Jack CADC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2008
Last updated Jul 10th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376707190 NPPES
Illinois Other A47410001A LICENSED OUTPATIENT SUBSTANCE ABUSE TREATMENT PROVIDER
Illinois Other A47410002A LICENSED OUTPATIENT SUBSTANCE ABUSE TREATMENT PROVIDER

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