Organization
CHANGING LIFE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUNILDE COSTANTINO (OWNER PARTNER)
(484) 602-6811
Entity
Organization
Contact information
Practice address
865 E 4TH ST, BETHLEHEM, PA 18015-1935
(610) 674-1037
Mailing address
PO BOX 5427, BETHLEHEM, PA 18015-0427
(610) 674-1037
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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