Organization
CHANGE WITHIN YOUR REACH
Active
Other names
Change Within Your Reach
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES SMITH (OWNER)
(910) 474-3192
Entity
Organization
Contact information
Practice address
3126 EMERYWOOD RD, EASTOVER, NC 28312-8582
(984) 238-5756
Mailing address
285 AMBERGATE DR, YOUNGSVILLE, NC 27596-7447
(910) 474-3192
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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