A Change From Within, LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Philadelphia, PA
NPI 1609399237 · NPPES record last updated Jul 25, 2017
Key facts
- NPI
- 1609399237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- A CHANGE FROM WITHIN, LLC
- Practice address
- 1641 Widener PL
Philadelphia, PA 19141-1815 - Phone
- (215) 806-9953
- NPI assigned
- Jul 25, 2017
- Organization subpart
- No
Authorized official
- Name
- Miss Tanyikia Sharay Alston, M.S
- Title
- Partner
- Phone
- (215) 806-9953
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
1641 Widener PL
Philadelphia, PA 19141-1815
Mailing address
2991 W School House LN Apt Oe14
Philadelphia, PA 19144-5339
Phone (215) 806-9953
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.