| Life Center For Change | |
|
240 S 5th W Ste D Rigby ID 83442-1476 | |
| (208) 745-0467 | |
| (208) 745-0409 |
| Full Name | Life Center For Change |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 240 S 5th W Ste D, Rigby, Idaho |
| Authorized Official Name and Position | Colleen Gray (OWNER) |
| Authorized Official Contact | 2087450467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Center For Change 240 S 5th W Ste D Rigby ID 83442-1476 Ph: (208) 745-0467 | Life Center For Change 240 S 5th W Ste D Rigby ID 83442-1476 Ph: (208) 745-0467 |
| NPI Number | 1720156011 |
|---|---|
| Provider Enumeration Date | 12/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720156011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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