Visualize Change, Llc

NPI 1750760492 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1750760492
Enumeration Date 05/27/2015
Last Updated 09/16/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name LORI LORI
Position FACILITY OWNER
Phone (570) 205-7195
Fax
Practice Location
123 W MAIN ST
SUITE 3
GIRARDVILLE PA, 17935, US
Phone (570) 205-7195
Fax
Business Location
123 W MAIN ST
SUITE 3
GIRARDVILLE PA, 17935, US
Phone (570) 205-7195
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Pennsylvania
License Number 547030
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According to our database, Visualize Change, Llc NPI is 1750760492, taxonomy code is 251S00000X and license number is 547030, license state is located at Pennsylvania. Visualize Change, Llc physically located at 123 W Main St, Girardville PA, 17935. NPI Number 1033115704 has the healthcare provider type.

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1750760492 NPI number is provided on an as is basis without warranty of any kind. 1750760492 is maintained by the National Plan & Provider Enumeration System. The contents of Visualize Change, Llc are for informational purposes only.