CHANGING LIVES OUTPATIENT CENTER
NPI 1649798752
Clinic/Center - Mental Health (Including Community Mental Health Center) in Gilbert, AZ

Active since September 08, 2017
633 E RAY ROAD, GILBERT, AZ 85295(480) 264-2647 Get Directions Write a Review

NPPES record last updated: September 8, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Changing Lives Outpatient Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANGING LIVES OUTPATIENT CENTER (NPI 1649798752) is a healthcare organization registered as a mental health (including community mental health center) in Gilbert, Arizona and active in the NPI registry since September 2017. The organization lists Cornelius Tanyi, Program Director, as its authorized official.

NPPES Registry Identity

NPI1649798752
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameEUREKA IMPERIAL RESIDENCE
Location Address633 E RAY ROADGilbert, AZ 85295
Mailing Address633 E Ray RdGilbert, AZ 85296-4200
Organization SubpartYes
Authorized OfficialCornelius TanyiProgram Director · (480) 264-2647
Enumeration DateSeptember 8, 2017
NPI 1649798752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
633 E RAY ROAD, Gilbert, AZ 85295

Other Names 1

Doing Business AsChanging Lives Outpatient Center

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eureka Imperial Residence's NPI number?

The NPI number for Eureka Imperial Residence is 1649798752. It was assigned to this organization in the NPPES registry on September 8, 2017. The provider is doing business as Changing Lives Outpatient Center.

Where is Eureka Imperial Residence located?

Eureka Imperial Residence is located at 633 E Ray Road, Gilbert, AZ 85295. The listed phone number is (480) 264-2647.

What is Eureka Imperial Residence's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Eureka Imperial Residence was last updated on September 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.