OrganizationActive
Be the Change in Mental Health
NPI 1508441403 · Adult Mental Health Clinic/Center · Santa Rosa, CA
Provider details
- NPI number
- 1508441403
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michelle Crippen, Director of Insurance/ Finances(530) 680-2810
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
2800 Cleveland Ave Ste C
Santa Rosa, CA 95403-2784
Phone: (555) 555-5555
Approximate (ZIP-level) locationGet directions
Mailing address
2800 Cleveland Ave Ste a
Santa Rosa, CA 95403-2784
Registry dates
- Enumerated
- 2021-03-11
- Last updated
- 2024-02-12
- Certified
- 2024-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.