| Upward Change Health Services, Llc | |
|
106 Ava Gardner Ave Smithfield NC 27577-4871 | |
| (919) 300-1559 | |
| Not Available |
| Full Name | Upward Change Health Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 106 Ava Gardner Ave, Smithfield, North Carolina |
| Authorized Official Name and Position | Misty Dawan Alston (CEO/OWNER) |
| Authorized Official Contact | 9194223036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upward Change Health Services, Llc Po Box 3495 Durham NC 27702-3495 Ph: (919) 682-5300 | Upward Change Health Services, Llc 106 Ava Gardner Ave Smithfield NC 27577-4871 Ph: (919) 300-1559 |
| NPI Number | 1811316342 |
|---|---|
| Provider Enumeration Date | 04/14/2014 |
| Last Update Date | 04/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811316342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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