Organization
FRONTIERS IN CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN OWEN MSSW, LCSW (OWNER)
(540) 632-1434
Entity
Organization
Contact information
Practice address
1719 GRANDIN RD SW, ROANOKE, VA 24015-2815
(115) 408-1956
Mailing address
5052 PLEASANT HILL DR, ROANOKE, VA 24018-3456
(540) 632-1434
(707) 679-4353
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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