Center for Life Change

NPI #1952681504 in Demotte, Indiana

Provider Information

NPI Number
1952681504
Entity Type
Organization
Organization Name
Center for Life Change
Primary Specialty
Community/Behavioral Health
Enumeration Date
Aug 26, 2011
Last Updated
Apr 24, 2013

Practice Location

Address
1317 15TH ST SE
State
Indiana
ZIP Code
46310-9393
Phone
(219) 987-3719

Authorized Official

Name
MRS. LORI EILEEN GROVES, MMFT
Title
MARRIAGE AND FAMILY THERAPIST
Phone
(219) 866-7869

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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