| NPI | 1760223234 |
|---|---|
| Doing Business As | CHANGING LIVES RECOVERY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN VANN HEFLIN Director 818-408-9761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |