Healthcare Provider Details

I. General information

NPI: 1982003182
Provider Name (Legal Business Name): CHANGING STEPS NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2014
Last Update Date: 08/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9527 LANGDON AVE
NORTH HILLS CA
91343-2102
US

IV. Provider business mailing address

9527 LANGDON AVE
NORTH HILLS CA
91343-2102
US

V. Phone/Fax

Practice location:
  • Phone: 323-202-8432
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: BELINDA BAKER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 323-202-8432