Provider Demographics
NPI:1508604398
Name:CATALYST FOR CHANGE INC
Entity type:Organization
Organization Name:CATALYST FOR CHANGE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CO-FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:SR
Authorized Official - Credentials:SAP
Authorized Official - Phone:608-707-2272
Mailing Address - Street 1:2901 INTERNATIONAL LN STE 100
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-3177
Mailing Address - Country:US
Mailing Address - Phone:608-707-2272
Mailing Address - Fax:608-480-8070
Practice Address - Street 1:2901 INTERNATIONAL LN STE 100
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-3177
Practice Address - Country:US
Practice Address - Phone:608-707-2272
Practice Address - Fax:608-480-8070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management