Change, INC
NPI #1629098132 in Weirton, West Virginia
Provider Information
- NPI Number
- 1629098132
- Entity Type
- Organization
- Organization Name
- Change, INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 20, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 3032 MAIN STREET
- City
- Weirton
- State
- West Virginia
- ZIP Code
- 26062
- Phone
- (304) 748-2828
Authorized Official
- Name
- MRS. JUDY RAVEAUX
- Title
- EXECUTIVE DIRECTOR
- Phone
- (304) 797-7733
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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