Organization
CHANGING HEARTS INSTEAD OF LOSING LIVES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMDIYA MOORE (CEO)
(252) 791-0909
Entity
Organization
Contact information
Practice address
713 FOREST ROAD, PLYMOUTH, NC 27962
(252) 791-0909
Mailing address
713 FORREST RD, PLYMOUTH, NC 27962-2256
(252) 791-0909
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409573
—
NC
05
—
8301400
—
NC
Enumeration date
02/14/2007
Last updated
07/02/2008
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