| Change Corporation | |
|
6320 Allentown Rd Temple Hills MD 20748-2609 | |
| (301) 541-0658 | |
| Not Available |
| Full Name | Change Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6320 Allentown Rd, Temple Hills, Maryland |
| Authorized Official Name and Position | Lawonne Proctor (PRESIDENT) |
| Authorized Official Contact | 3017411316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Corporation 6320 Allentown Rd Temple Hills MD 20748-2609 Ph: (301) 541-0658 | Change Corporation 6320 Allentown Rd Temple Hills MD 20748-2609 Ph: (301) 541-0658 |
| NPI Number | 1760002182 |
|---|---|
| Provider Enumeration Date | 04/27/2020 |
| Last Update Date | 04/27/2020 |
| Certification Date | 04/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760002182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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