| NPI | 1891465456 |
|---|---|
| Doing Business As | CHANGING LIVES WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | WHITNEY N ALLEN Office Manager 318-458-4798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-09-28 |