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CHANGING FACE INC NPI 1043762883


NPI Information

NPI: 1043762883
Provider Name: CHANGING FACE INC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
4124 ODIE LN
SANTA MARIA, CA
ZIP 93455
Phone: (805) 937-5475
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CHANGING FACE INC is a residential treatment facility emotionally disturbed children in Santa Maria, CA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. CHANGING FACE INC NPI is 1043762883. The provider is registered as an organization entity type.

The provider's business location address is:

4124 ODIE LN
SANTA MARIA, CA
ZIP 93455-109
Phone: (805) 937-5475
Fax: (805) 937-5473

The provider's authorized official is Stephanie N. Cooks .
The authorized official title is Hr Director and has the following contact phone number (805) 937-5475.

The enumeration date for this NPI number is 10/27/2016 and was last updated on 12/8/2021.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

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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