CHANGING LIVES RESIDENTIAL CARE, INC. - NPI 1043597180 - Community Based Residential Treatment Facility, Mental Illness in Durham, NC

Q: What is the provider's specialty?

The provider's specialty is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

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About Changing Lives Residential Care, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANGING LIVES RESIDENTIAL CARE, INC. (NPI 1043597180) is a healthcare organization registered as a community based residential treatment facility, mental illness in Durham, North Carolina and active in the NPI registry since November 2011. The organization lists Tania Bond, Owner, as its authorized official.

NPPES Registry Identity

NPI1043597180

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameCHANGING LIVES RESIDENTIAL CARE, INC.

Location Address3925 N DUKE ST, SUITE 123Durham, NC 27704-1780

Mailing Address3925 N Duke St, Suite 124Durham, NC 27704-1780 · (919) 251-8711 · Fax (919) 251-8517

Phone(919) 251-8711

Fax(919) 251-8517

Organization SubpartNo

Authorized OfficialTania BondOwner · (919) 251-8711

Enumeration DateNovember 3, 2011

✔ NPI 1043597180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

3925 N DUKE ST, Durham, NC 27704

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