| About Change Nc Llc | |
|
7201 Thompson Mill Rd Wake Forest NC 27587-9081 | |
| (919) 737-5600 | |
| Not Available |
| Full Name | About Change Nc Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7201 Thompson Mill Rd, Wake Forest, North Carolina |
| Authorized Official Name and Position | Robert Hernandez (CMO) |
| Authorized Official Contact | 9195845052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| About Change Nc Llc 7201 Thompson Mill Rd Wake Forest NC 27587-9081 Ph: () - | About Change Nc Llc 7201 Thompson Mill Rd Wake Forest NC 27587-9081 Ph: (919) 737-5600 |
| NPI Number | 1710688049 |
|---|---|
| Provider Enumeration Date | 03/14/2023 |
| Last Update Date | 03/14/2023 |
| Certification Date | 03/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710688049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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