Choice To Change

NPI 1124449988 - Counselor - 101YM0800X

NPI Details
NPI 1124449988
Enumeration Date 12/21/2013
Last Updated 02/07/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name LYNN LYNN
Position PRESIDENT
Phone (561) 745-1779
Fax (561) 745-1780
Practice Location
17772 BRIDLE LN
JUPITER FL, 33478-4718, US
Phone (561) 745-1779
Fax (561) 745-1780
Business Location
17772 BRIDLE LN
JUPITER FL, 33478-4718, US
Phone (561) 745-1779
Fax (561) 745-1780
Toxanomy
Taxonomy Code 101YM0800X
License State Florida
License Number MH12298
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According to our database, Choice To Change NPI is 1124449988, taxonomy code is 101YM0800X and license number is MH12298, license state is located at Florida. Choice To Change physically located at 17772 Bridle Ln, Jupiter FL, 33478-4718. NPI Number 1033115704 has the healthcare provider type.

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1124449988 NPI number is provided on an as is basis without warranty of any kind. 1124449988 is maintained by the National Plan & Provider Enumeration System. The contents of Choice To Change are for informational purposes only.