Organization
CHANGING COMMUNITIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRICE MCRAE (CEO)
(919) 638-3353
Entity
Organization
Contact information
Practice address
1651 HIGHWAY 177, WALLACE, SC 29596-5310
(980) 272-0063
Mailing address
634 2ND ST, CHERAW, SC 29520-1824
(919) 638-3353
(919) 869-2131
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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