Organization · NPI-2

A Chance For Change, Incorporated

Community/Behavioral Health · Gastonia, NC

NPI number1780969188
StatusActive
Last updated in NPPESOct 17, 2011

Details

NPI
1780969188
Entity type
Organization (NPI-2)
Legal business name
A Chance For Change, Incorporated
Organization subpart
No
Enumeration date
Oct 17, 2011
Last updated
Oct 17, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

334 S Vine St
Gastonia, NC 28052-3575

Phone 704-923-9701

Mailing address

334 S Vine Street
Gastonia, NC 28052-4052

Phone 704-923-9701

Authorized official

Rodnisha Sade Cannon
Chief Executive Officer
7049239701

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