Organization
BALANCED CHANGE NUTRITION AND WELLNESS
Active
Organization
BALANCED CHANGE NUTRITION AND WELLNESS
Active
Other names
Balanced Change
Organization subpart
No
Provider details
NPI number
Authorized official
DAMIAN GANOE RDN (REGISTERED DIETITIAN)
(984) 600-0997
Entity
Organization
Contact information
Practice address
12528 BIRCHFALLS DR, RALEIGH, NC 27614-9676
(984) 600-0997
Mailing address
12528 BIRCHFALLS DR, RALEIGH, NC 27614-9676
(984) 600-0997
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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