Changing Lives Outpatient Center

LBN: Eureka Imperial Residence
Changing Lives Outpatient Center is an health care organization with primary practice located at 633 E Ray Road , Gilbert AZ 85295. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Eureka Imperial Residence can be contacted via phone (480) 264-2647, or through Tanyi, Cornelius via phone (480) 264-2647.

Contact Information

Primary practice address
633 E Ray Road Gilbert AZ 85295
Phone: (480) 264-2647
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tanyi, Cornelius
Phone: (480) 264-2647

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1649798752
LBN Legal business name Eureka Imperial Residence
DBA Doing business as Changing Lives Outpatient Center
Authorized official Tanyi, Cornelius
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 8th, 2017
Last updated Sep 8th, 2017 - about 9 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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