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CHANGE LANES YOUTH SUPPORT SERVICES NPI 1407035918


NPI Information

NPI: 1407035918
Provider Name: CHANGE LANES YOUTH SUPPORT SERVICES

Former Legal Business Name: CHANGE LANES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
45118 13TH ST W
LANCASTER, CA
ZIP 93534
Phone: (661) 948-5555
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CHANGE LANES YOUTH SUPPORT SERVICES is a community behavioral health in Lancaster, CA. The provider is 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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CHANGE LANES YOUTH SUPPORT SERVICES NPI is 1407035918. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Change Lanes.

The provider's business location address is:

45118 13TH ST W
LANCASTER, CA
ZIP 93534-156
Phone: (661) 948-5555
Fax: (661) 878-9130

The provider's authorized official is Cynthia D. Hunter-spears .
The authorized official title is Executive Director and has the following contact phone number (661) 948-2555.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 12/31/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of Service10023326CALIFORNIANo
2252Y00000XEarly Intervention Provider Agency10007140CALIFORNIANo
3251S00000XCommunity/Behavioral Health10007140CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11952597627MEDICAIDCALIFORNIA
2197467MEDICAIDCALIFORNIA
31669948832MEDICAIDCALIFORNIA
41750686598MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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