Changing Lives Now LLC
NPI #1588164131 in Newton, North Carolina
Provider Information
- NPI Number
- 1588164131
- Entity Type
- Organization
- Organization Name
- Changing Lives Now LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Feb 20, 2018
- Last Updated
- Feb 20, 2018
Practice Location
- Address
- 4675 HICKORY LINCOLNTON HWY
- City
- Newton
- State
- North Carolina
- ZIP Code
- 28658-9732
- Phone
- (704) 224-2364
Authorized Official
- Name
- RICHARD E. MACON, MA,QMHP
- Title
- OWNER
- Phone
- (704) 224-2364
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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