Organization
CHANCE OF CHANGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN JOHNSON (CHIEF EXECUTIVE OFICER)
(404) 246-4765
Entity
Organization
Contact information
Practice address
1489 MUNDYS MILL RD STE 200, JONESBORO, GA 30238-6026
(404) 246-4765
Mailing address
2770 S HILLS, RIVERDALE, GA 30296-6060
(404) 246-4765
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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