A Change From Within, LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Philadelphia, PA. Organization (NPI-2).
NPI number1609399237
StatusActive
Last updated in NPPESJul 25, 2017
Details
- NPI
- 1609399237
- Entity type
- Organization (NPI-2)
- Legal business name
- A Change From Within, LLC
- Organization subpart
- No
- Enumeration date
- Jul 25, 2017
- Last updated
- Jul 25, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
1641 Widener PlPhiladelphia, PA 19141-1815
Phone 215-806-9953
Mailing address
2991 W School House Ln Apt Oe14Philadelphia, PA 19144-5339
Phone 215-806-9953
Authorized official
Tanyikia Sharay Alston
Partner
2158069953
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