Organization
ABOUT CHANGE NC LLC
Active
Other names
About Change
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HERNANDEZ (CMO)
(919) 584-5052
Entity
Organization
Contact information
Practice address
7201 THOMPSON MILL RD, WAKE FOREST, NC 27587-9081
(919) 737-5600
Mailing address
7201 THOMPSON MILL RD, WAKE FOREST, NC 27587-9081
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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