Changingyourlifeadult&youthservicesllc.
NPI #1831315449 in Wadesboro, North Carolina
Provider Information
- NPI Number
- 1831315449
- Entity Type
- Organization
- Organization Name
- Changingyourlifeadult&youthservicesllc.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Apr 18, 2007
- Last Updated
- Aug 27, 2009
Practice Location
- Address
- 2498 US HIGHWAY 74 E
- Address 2
- 2498 US HIGHWAY 74 EAST
- City
- Wadesboro
- State
- North Carolina
- ZIP Code
- 28170-6479
- Phone
- (704) 994-3606
Authorized Official
- Name
- RONALD SHEDWICK CAPEL
- Title
- DIRECTOR
- Phone
- (704) 994-3606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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