Provider Demographics
NPI:1740329622
Name:SEARCH FOR CHANGE, INC.
Entity type:Organization
Organization Name:SEARCH FOR CHANGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:KAVANAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:914-428-5600
Mailing Address - Street 1:95 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-1515
Mailing Address - Country:US
Mailing Address - Phone:914-428-5600
Mailing Address - Fax:914-428-5642
Practice Address - Street 1:95 CHURCH ST
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-1515
Practice Address - Country:US
Practice Address - Phone:914-428-5600
Practice Address - Fax:914-428-5642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01324845320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04Medicaid
NY06Medicaid
NY05Medicaid
NY08Medicaid
NY12Medicaid
NY10Medicaid
NY11Medicaid
NY07Medicaid