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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