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1164756623
LIFECHANGINGBEHAVIORALHEALTHSERVICES
WHITEVILLE, NC
NPI
1164756623
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Entity Type
Organization
Authorized Contact
LUIS ROMAN
COO
910-770-2682
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2009-09-30
Last Update Date
2009-09-30
Business Address
LIFECHANGINGBEHAVIORALHEALTHSERVICES
18 WHITEVILLE MINI MALL
WHITEVILLE, NC 28472-2105
Phone number: 910-914-0006
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Mailing Address
LIFECHANGINGBEHAVIORALHEALTHSERVICES
314 S MAIN ST
FAIRMONT, NC 28340-1906
Phone number: 910-628-9091
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