| NPI | 1750047338 |
|---|---|
| Doing Business As | HOUSE OF CHANGE BEHAVIORAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | VANESSA LYLE Billing Specialist / Credential Spc 410-500-0712 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2021-11-09 |