Organization
CHOOSING CHANGE RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE REEVES (OWNER)
(980) 339-0307
Entity
Organization
Contact information
Practice address
6333 FRESH WIND AVE, CHARLOTTE, NC 28212-4557
(704) 503-9129
Mailing address
11709 FRUEHAUF DR STE 225, CHARLOTTE, NC 28273-0043
(880) 339-0307
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/13/2020
Last updated
12/13/2020
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