Life Center for Change
NPI #1720156011 in Rigby, Idaho
Provider Information
- NPI Number
- 1720156011
- Entity Type
- Organization
- Organization Name
- Life Center for Change
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 3, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MRS. COLLEEN GRAY
- Title
- OWNER
- Phone
- (208) 745-0467
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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