Organization
CHANGING LIVES NOW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E. MACON MA,QMHP (OWNER)
(704) 224-2364
Entity
Organization
Contact information
Practice address
4675 HICKORY LINCOLNTON HWY, NEWTON, NC 28658-9732
(704) 224-2364
(828) 855-1289
Mailing address
PO BOX 86, HIDDENITE, NC 28636-0086
(704) 224-2364
(828) 855-1289
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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