Changing Lives, Inc. | |
507 Dillingham Street A-b Phenix City AL 36867 | |
(334) 297-1967 | |
(334) 297-2200 |
Full Name | Changing Lives, Inc. |
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Speciality | Community/behavioral Health |
Location | 507 Dillingham Street, Phenix City, Alabama |
Authorized Official Name and Position | Johnnie Clifton Robinson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7062491561 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Changing Lives, Inc. 507 Dillingham Street Phenix City AL 36867 Ph: (334) 297-1967 | Changing Lives, Inc. 507 Dillingham Street A-b Phenix City AL 36867 Ph: (334) 297-1967 |
NPI Number | 1730528878 |
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Provider Enumeration Date | 06/21/2013 |
Last Update Date | 06/21/2013 |
Identifier | Type | State | Issuer |
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1730528878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 2120 (Alabama) | Primary |
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