Organization
LIFE CHANGES FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY WILEY BS (OWNER)
(716) 390-8358
Entity
Organization
Contact information
Practice address
WEST FRIENDLY AVE, 5415 SUITE A, GREENSBORO, NC 27455
(716) 390-8358
Mailing address
3229 REGENTS PARK LN, APT D, GREENSBORO, NC 27455-1838
(716) 390-8358
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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