| Changing Lives, Inc. | |
|
507 Dillingham Street A-b Phenix City AL 36867 | |
| (334) 297-1967 | |
| (334) 297-2200 |
| Full Name | Changing Lives, Inc. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/21/2013 |
| Last Update Date | 06/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730528878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2120 (Alabama) | Primary |
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