Organization
CHANGING PLACES THERAPEUTIC CENTER, COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIANCO HOLMON MSW, LCSWS, LCAS-A (CHIEF OPERATING OFFICER)
(910) 273-9956
Entity
Organization
Contact information
Practice address
1044 BRAGG BLVD STE B, FAYETTEVILLE, NC 28301-4512
(910) 273-9956
Mailing address
PO BOX 542, HOPE MILLS, NC 28348-0542
(910) 273-9956
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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