Organization · Type 2 NPI

Changing Lives Group Home IV , LLC

Community/Behavioral Health Agency · Greensboro, NC

NPI number 1760905178 Active

Practice location

1404 Cushing St
Greensboro, NC 27405-3300

Call (336) 516-6187 Map

Mailing address

823 Day Ave
Burlington, NC 27217-2505

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed
Adult Care Home Facility 311ZA0620XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1760905178

Changing Lives Group Home IV , LLC's National Provider Identifier is 1760905178, issued on Jul 18, 2017. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Greensboro, NC. The record was last updated on Sep 30, 2020.