Organization
MAKING CHANGES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA GRACE MSW, LCAS (CEO)
(252) 258-5303
Entity
Organization
Contact information
Practice address
3475 AIRPORT BLVD NW, STE. G, WILSON, NC 27896-8687
(252) 258-5303
Mailing address
3475 AIRPORT BLVD NW, STE. G, WILSON, NC 27896-8687
(252) 258-5303
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3410149
—
NC
Enumeration date
08/25/2011
Last updated
08/25/2011
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