Organization
CHANGING LIVES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNIE CLIFTON ROBINSON JR. LMSW (EXECUTIVE DIRECTOR)
(706) 249-1561
Entity
Organization
Contact information
Practice address
507 DILLINGHAM STREET, A-B, PHENIX CITY, AL 36867
(334) 297-1967
(334) 297-2200
Mailing address
507 DILLINGHAM STREET, PHENIX CITY, AL 36867
(334) 297-1967
(334) 297-2200
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2120
AL
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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