# CHANGING PATHS NC II

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942915509
- **Authorized official:** SUZAN TEAGUE (OWNER)
- **Authorized official phone:** (910) 631-1036

## Contact information

- **Practice address:** 205 MARTHA LN, CLINTON, NC 28328-9639
- **Practice address phone:** (910) 631-1036
- **Mailing address:** 205 MARTHA LANE, CLINTON, NC 28328-9639
- **Mailing address phone:** (175) 789-7568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 261QM2800X | Methadone Clinic | — | NULL | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | — |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 01/18/2023
- **Last updated:** 09/28/2026