Life Change Institute

NPI #1619100047 in Euclid, Ohio

Provider Information

NPI Number
1619100047
Entity Type
Organization
Organization Name
Life Change Institute
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Sep 2, 2009
Last Updated
Sep 2, 2009

Practice Location

Address
1510 E 221ST ST
City
Euclid
State
Ohio
ZIP Code
44117-1509
Phone
(216) 376-2886

Authorized Official

Name
BYRON R SWIFT, LSW MSSA
Title
EXECUTIVE DIRECTR
Phone
(216) 376-2886

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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