Provider Demographics
NPI:1124584875
Name:CENTER FOR POSITIVE TRANSFORMATION, LLC
Entity Type:Organization
Organization Name:CENTER FOR POSITIVE TRANSFORMATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:ARMBRUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S, CHT, BSN, RN
Authorized Official - Phone:330-999-2548
Mailing Address - Street 1:2664 ARCHWOOD PL
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-2453
Mailing Address - Country:US
Mailing Address - Phone:330-703-0508
Mailing Address - Fax:
Practice Address - Street 1:2664 ARCHWOOD PL
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-2453
Practice Address - Country:US
Practice Address - Phone:330-703-0508
Practice Address - Fax:833-599-1682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-19
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health