| Changing Hearts Instead Of Losing Lives, Inc | |
|
713 Forest Road Plymouth NC 27962 | |
| (252) 791-0909 | |
| Not Available |
| Full Name | Changing Hearts Instead Of Losing Lives, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 713 Forest Road, Plymouth, North Carolina |
| Authorized Official Name and Position | Hamdiya Moore (CEO) |
| Authorized Official Contact | 2527910909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Hearts Instead Of Losing Lives, Inc 713 Forrest Rd Plymouth NC 27962-2256 Ph: (252) 791-0909 | Changing Hearts Instead Of Losing Lives, Inc 713 Forest Road Plymouth NC 27962 Ph: (252) 791-0909 |
| NPI Number | 1659413581 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659413581 | NPI | - | NPPES |
| 3409573 | Medicaid | NC | |
| 8301400 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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