Organization
LIFE CHANGING BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS ROMAN (COO)
(910) 770-2682
Entity
Organization
Contact information
Practice address
817B S MADISON ST, WHITEVILLE, NC 28472-4613
(910) 317-7873
Mailing address
817B S MADISON ST, WHITEVILLE, NC 28472-4613
(910) 317-7873
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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