Change Reaction

LBN: Change Reaction
Change Reaction is an health care organization with primary practice located at 4404 Queensbury Rd Ste 105 , Riverdale MD 20737-1074. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty. Change Reaction can be contacted via phone (240) 432-7659, or through Green, Kimberly M via phone (301) 864-0919.

Contact Information

Primary practice address
4404 Queensbury Rd Ste 105 Riverdale MD 20737-1074
Phone: (240) 432-7659
Fax: (301) 864-1301
Website:
Map and Directions
Authorized official contact:
Name: Green, Kimberly M
Phone: (301) 864-0919

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1275201758
LBN Legal business name Change Reaction
DBA Doing business as
Authorized official Green, Kimberly M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2021
Last updated Aug 31st, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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