Organization
A CENTER FOR HOPE AND CHANGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LACOYA DANIELLE CUMMINGS (CHIEF EXECUTIVE OFFICER)
(318) 673-9901
Entity
Organization
Contact information
Practice address
1925 CENTENARY BLVD, SHREVEPORT, LA 71101-4926
(318) 673-9901
(318) 673-9904
Mailing address
1925 CENTENARY BLVD, SHREVEPORT, LA 71101-4926
(318) 673-9901
(318) 673-9904
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1147664
—
LA
Enumeration date
01/08/2007
Last updated
08/22/2020
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