| Life Changing Behavioral Health Services | |
|
817b S Madison St Whiteville NC 28472-4613 | |
| (910) 317-7873 | |
| Not Available |
| Full Name | Life Changing Behavioral Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 817b S Madison St, Whiteville, North Carolina |
| Authorized Official Name and Position | Luis Roman (COO) |
| Authorized Official Contact | 9107702682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Changing Behavioral Health Services 817b S Madison St Whiteville NC 28472-4613 Ph: (910) 317-7873 | Life Changing Behavioral Health Services 817b S Madison St Whiteville NC 28472-4613 Ph: (910) 317-7873 |
| NPI Number | 1275864266 |
|---|---|
| Provider Enumeration Date | 01/15/2010 |
| Last Update Date | 01/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275864266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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