Organization
CHANGING FACES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA JOHNSON (CEO)
(803) 637-0063
Entity
Organization
Contact information
Practice address
31 QUAIL RUN, EDGEFIELD, SC 29824-3147
(803) 637-2323
(803) 637-0063
Mailing address
31 QUAIL RUN, EDGEFIELD, SC 29824-3147
(803) 637-2323
(803) 637-0063
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
172V00000X
Community Health Worker
—
—
174200000X
Meals Provider
—
—
175T00000X
Peer Specialist
—
—
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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