Provider Demographics
NPI:1760147649
Name:CHANGES AND EMPOWERMENT PROGRAMS
Entity Type:Organization
Organization Name:CHANGES AND EMPOWERMENT PROGRAMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:NATURE
Authorized Official - Middle Name:PEARL
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-853-0216
Mailing Address - Street 1:23830 PACIFIC HWY S SUITE 202
Mailing Address - Street 2:23830 PACIFIC HWY S SUITE 202
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032
Mailing Address - Country:US
Mailing Address - Phone:206-501-5295
Mailing Address - Fax:
Practice Address - Street 1:23830 PACIFIC HWY S STE 202
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-7706
Practice Address - Country:US
Practice Address - Phone:206-501-5295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit