Organization
CHANGING PATHS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS CONRAD SCOTT (ORAGANIZER)
(336) 312-4622
Entity
Organization
Contact information
Practice address
1801 N TRYON ST STE 307, CHARLOTTE, NC 28206-2731
(336) 312-4622
Mailing address
801 VALLEY OAK DR, GREENSBORO, NC 27406-8225
(336) 312-4622
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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