Change Corporation
NPI #1760002182 in Temple Hills, Maryland
Provider Information
- NPI Number
- 1760002182
- Entity Type
- Organization
- Organization Name
- Change Corporation
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 27, 2020
- Last Updated
- Apr 27, 2020
Practice Location
- Address
- 6320 ALLENTOWN RD
- City
- Temple Hills
- State
- Maryland
- ZIP Code
- 20748-2609
- Phone
- (301) 541-0658
Authorized Official
- Name
- LAWONNE PROCTOR
- Title
- PRESIDENT
- Phone
- (301) 741-1316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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