Provider Demographics
NPI:1043846884
Name:PROCESS OF CHANGES
Entity Type:Organization
Organization Name:PROCESS OF CHANGES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:OHIKU
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:410-404-7651
Mailing Address - Street 1:1000 INGLESIDE AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1317
Mailing Address - Country:US
Mailing Address - Phone:410-404-7651
Mailing Address - Fax:443-551-3801
Practice Address - Street 1:1000 INGLESIDE AVE FL 1
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21228-1317
Practice Address - Country:US
Practice Address - Phone:410-404-7651
Practice Address - Fax:443-551-3801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-12
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)