| NPI | 1760188072 |
|---|---|
| Other Name | CHAIN OF CHANGE RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | ALICIA ROBERSON CEO 910-745-8895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2025-03-28 |