Organization
HOPE FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALID GREENAWAY (CLINICAL DIRECTOR)
(336) 253-5286
Entity
Organization
Contact information
Practice address
131 SILVER BLUFF RD, AIKEN, SC 29803-7324
(336) 253-5286
Mailing address
1524 BALLARD CT, KERNERSVILLE, NC 27284-7938
(336) 253-5286
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5796
SC
251S00000X
Community/Behavioral Health Agency
9787
NC
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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