Changing Hearts Instead of Losing Lives, Inc

Organization Active NPI Community/Behavioral Health Agency · Plymouth, NC

NPI 1659413581 · NPPES record last updated Jul 2, 2008

Key facts

NPI
1659413581
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
CHANGING HEARTS INSTEAD OF LOSING LIVES, INC
Practice address
713 Forest Road
Plymouth, NC 27962
Phone
(252) 791-0909
NPI assigned
Feb 14, 2007
Organization subpart
No

Authorized official

Name
Hamdiya Moore
Title
Ceo
Phone
(252) 791-0909

National Provider Directory

Locations

101 Forest Rd
Ste B
Plymouth, NC 27962
Phone (252) 484-9945

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

713 Forest Road
Plymouth, NC 27962

Mailing address

713 Forrest Rd
Plymouth, NC 27962-2256
Phone (252) 791-0909

Other identifiers

IdentifierTypeStateIssuer
3409573MedicaidNC
8301400MedicaidNC

Other providers in Plymouth, NC

All providers in Plymouth, NC · Community/Behavioral Health Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.