Chance 2 Change

NPI 1164815106 - Clinic/Center - 261QR0405X

NPI Details
NPI 1164815106
Enumeration Date 03/16/2015
Last Updated 03/16/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name KIM KIM
Position MANAGER
Phone (386) 437-0235
Fax
Practice Location
724 S BEACH ST
SUITE 3
DAYTONA BEACH FL, 32114-5441, US
Phone (386) 437-0235
Fax
Business Location
4721 E MOODY BLVD
STE 107
BUNNELL FL, 32110-7705, US
Phone (386) 437-0235
Fax
Toxanomy
Taxonomy Code 261QR0405X
License State
License Number
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According to our database, Chance 2 Change NPI is 1164815106, taxonomy code is 261QR0405X Chance 2 Change physically located at 724 S Beach St, Daytona Beach FL, 32114-5441. NPI Number 1033115704 has the healthcare provider type.

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1164815106 NPI number is provided on an as is basis without warranty of any kind. 1164815106 is maintained by the National Plan & Provider Enumeration System. The contents of Chance 2 Change are for informational purposes only.