| NPI | 1790428332 |
|---|---|
| Doing Business As | THE LIFECHANGE GROUP |
| Entity Type | Organization |
| Authorized Contact | JASMINE SCOTT Chief Executive Officer 980-323-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2023-09-15 |