Unbridled Change

NPI 1609018035 - Voluntary or Charitable - 251V00000X

NPI Details
NPI 1609018035
Enumeration Date 03/31/2009
Last Updated 03/31/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MICHELLE SHEREE MICHELLE
Position EXECUTIVE DIRECTOR
Phone (540) 719-2171
Fax (540) 719-2172
Practice Location
754 RIDGE MOUNTAIN DR
BOONES MILL VA, 24065-4724, US
Phone (540) 719-2171
Fax (540) 719-2172
Business Location
PO BOX 157
BOONES MILL VA, 24065-0157, US
Phone (540) 719-2171
Fax (540) 719-2172
Toxanomy
Taxonomy Code 251V00000X
License State
License Number
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According to our database, Unbridled Change NPI is 1609018035, taxonomy code is 251V00000X Unbridled Change physically located at 754 Ridge Mountain Dr, Boones Mill VA, 24065-4724. NPI Number 1033115704 has the healthcare provider type.

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1609018035 NPI number is provided on an as is basis without warranty of any kind. 1609018035 is maintained by the National Plan & Provider Enumeration System. The contents of Unbridled Change are for informational purposes only.