| Change Agents Network, Llc | |
|
506 Blair St Savannah GA 31401-5100 | |
| (912) 210-6855 | |
| (888) 753-1005 |
| Full Name | Change Agents Network, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 506 Blair St, Savannah, Georgia |
| Authorized Official Name and Position | Kendra Caprice Carter (OWNER) |
| Authorized Official Contact | 9122106855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Agents Network, Llc Po Box 2532 Savannah GA 31402-2532 Ph: (912) 210-6855 | Change Agents Network, Llc 506 Blair St Savannah GA 31401-5100 Ph: (912) 210-6855 |
| NPI Number | 1811120298 |
|---|---|
| Provider Enumeration Date | 09/01/2009 |
| Last Update Date | 09/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811120298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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