| NPI | 1164963542 |
|---|---|
| Doing Business As | CHANGING TIDES |
| Entity Type | Organization |
| Authorized Contact | AUBREY LYNN BRIGGMAN President 252-423-1048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |