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1952681504
CENTER FOR LIFE CHANGE
DEMOTTE, IN
NPI
1952681504
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Entity Type
Organization
Authorized Contact
LORI EILEEN GROVES
Marriage And Family Therapist
219-866-7869
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2011-08-26
Last Update Date
2013-04-24
Business Address
CENTER FOR LIFE CHANGE
1317 15TH ST SE
DEMOTTE, IN 46310-9393
Phone number: 219-987-3719
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Mailing Address
CENTER FOR LIFE CHANGE
1103 EAST GRACE STREET BUILDING 2
RENSSELAER, IN 47978
Phone number: 219-866-7869
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