CENTER FOR CHANGE & GROWTH PLC NPI 1649459132

NPI Information

  • NPI: 1649459132
  • Provider Name: CENTER FOR CHANGE & GROWTH PLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 816 E MICHIGAN AVE STE 101
    PAW PAW, MI
    ZIP 49079
  • Phone: (269) 657-5800

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NPI Details

CENTER FOR CHANGE & GROWTH PLC is an adult mental health clinic center in Paw Paw, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CENTER FOR CHANGE & GROWTH PLC NPI is 1649459132. The provider is registered as an organization entity type.

The provider's business location address is:

816 E MICHIGAN AVE STE 101
PAW PAW, MI
ZIP 49079-462
Phone: (269) 657-5800
Fax: (269) 657-8939

The provider's authorized official is Susan Marie Carter .
The authorized official title is Clinical Director Owner and has the following contact phone number (269) 657-5800.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 11/19/2011.

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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2261QM0850XClinic/CenterAdult Mental HealthYes

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
1ON98950MEDICARE UPINMICHIGAN

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: 3/30/2025

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