Organization
CHANGE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWONNE PROCTOR (PRESIDENT)
(301) 741-1316
Entity
Organization
Contact information
Practice address
6320 ALLENTOWN RD, TEMPLE HILLS, MD 20748-2609
(301) 541-0658
Mailing address
6320 ALLENTOWN RD, TEMPLE HILLS, MD 20748-2609
(301) 541-0658
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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