Organization
CHANGING COMMUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDA HUNTLEY (CO OWNER)
(919) 771-3331
Entity
Organization
Contact information
Practice address
8917 GRAND HIGHLAND WAY, WAKE FOREST, NC 27587-1501
(919) 771-3331
Mailing address
PO BOX 690310, CHARLOTTE, NC 28227-7005
(919) 771-3331
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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