# CHANGING LIVES NOW LLC

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

## Provider details

- **NPI number:** 1952738999
- **Authorized official:** MR. RICHARD EARL MACON JR. (OWNER/DIRECTOR)
- **Authorized official phone:** (794) 224-2364

## Contact information

- **Practice address:** 3598 NORTH CAROLINA 90, TAYLORSVILLE, NC 28681
- **Practice address phone:** (704) 224-2364
- **Mailing address:** 3598 NC HIGHWAY 90 E, TAYLORSVILLE, NC 28681-8273
- **Mailing address phone:** (704) 224-2364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-002-024 | NC | Yes |

## Other

- **Enumeration date:** 10/05/2013
- **Last updated:** 08/22/2014