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Organization
COURAGE TO CHANGE, INC.
Active
Organization
COURAGE TO CHANGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID T TIPTON LPC (EXECUTIVE DIRECTOR OWNER)
(606) 877-9008
Entity
Organization
Contact information
Practice address
474 BARBOURVILLE RD, SUITE 2, LONDON, KY 40744-9302
(606) 877-9008
(606) 877-1785
Mailing address
474 BARBOURVILLE RD, SUITE 2, LONDON, KY 40744-9302
(606) 877-9008
(606) 877-1785
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
3300106600
KY
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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