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Organization
POSITIVE CHANGES, INC
Active
Organization
POSITIVE CHANGES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN M WEST (OFFICE MANAGER)
(919) 788-7878
Entity
Organization
Contact information
Practice address
3200 BEECHLEAF CT, SUITE 100, RALEIGH, NC 27604-1085
(919) 788-7878
(919) 424-8320
Mailing address
3200 BEECHLEAF CT, SUITE 100, RALEIGH, NC 27604-1085
(919) 788-7878
(919) 424-8320
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004204
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138YJ
BCBSNC SUSAN
NC
01
—
556410
SUSANS VALUEOPTIONS NUMBE
NC
05
—
5900590
—
NC
05
—
6002947
—
NC
01
—
7104624
AETNA PIN NUMBER
NC
01
—
7162632
AETNA POSITIVE CHANGES
NC
01
—
D9225
SUSANS MEDCOST
NC
Enumeration date
06/17/2005
Last updated
08/22/2020
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