Organization
CHANGING LIVES ENRICHMENT PROGRAM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANIA BOND (CEO)
(919) 251-8711
Entity
Organization
Contact information
Practice address
3925 N DUKE ST, SUITE 123, DURHAM, NC 27704-1780
(919) 251-8711
(919) 251-8517
Mailing address
3925 N DUKE ST, SUITE 124, DURHAM, NC 27704-1780
(919) 251-8711
(919) 251-8517
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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