Changing Leads LLC

NPI #1962650960 in State College, Pennsylvania

Provider Information

NPI Number: 1962650960
Entity Type: Organization
Organization Name: Changing Leads LLC
Primary Specialty: Social Worker
Enumeration Date: Sep 3, 2008
Last Updated: Sep 3, 2008

Practice Location

Address: 650 BREEZEWOOD DRIVE
City: State College
State: Pennsylvania
ZIP Code: 16801
Phone: (814) 238-0961

Authorized Official

Name: MR. PAUL ALLAN MOORE, LICENSED SOCIAL WORK
Title: CEO
Phone: (814) 238-0961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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