Organization · Type 2 NPI
Unbridled Change
Voluntary or Charitable Agency · Boones Mill, VA
NPI number
1609018035
Active
Practice location
754 Ridge Mountain Dr
Boones Mill, VA 24065-4724
Fax (540) 719-2172
Mailing address
PO Box 157
Boones Mill, VA 24065-0157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Voluntary or Charitable Agency Primary | 251V00000X | None listed |
Voluntary or Charitable Agency: Definition to come...
About NPI 1609018035
Unbridled Change's National Provider Identifier is 1609018035, issued on Mar 31, 2009. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Boones Mill, VA. The record was last updated on Mar 31, 2009.