ACTIVE CHANGE CENTER, LLC is a professional counselor in Meridian, ID. ACTIVE CHANGE CENTER, LLC NPI is 1497028161. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Active Change Center.
The provider's business location address is:
2498 N STOKESBERRY PL.
SUITE 180
MERIDIAN, ID
ZIP 83646
Phone: (208) 403-7488
Fax: (208) 529-1960
The provider's authorized official is Danny Lee Rasco .
The authorized official title is Billing Agent and has the following contact phone number (208) 201-9513.
The enumeration date for this NPI number is 2/10/2012 and was last updated on 7/12/2022.