| NPI | 1275175861 |
|---|---|
| Doing Business As | A CHANGE IN LIFE LLC |
| Entity Type | Organization |
| Authorized Contact | KEITH LAMONT SHELTON Owner/CEO 804-716-1560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2021-10-01 |