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Changing Phases Behavioral Support
Emotionally Disturbed Childrens' Residential Treatment Facility in Greensboro, North Carolina
NPI 1811057045

Changing Phases Behavioral Support is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Greensboro, NC. Changing Phases Behavioral Support practices in Greensboro, NC. The NPI Number for Changing Phases Behavioral Support is 1811057045 and holds a License No. (North Carolina).

The current practice location address for Changing Phases Behavioral Support is 1609 Clemmons St, Greensboro, NC and can be reached out via phone at 336-333-2542 and via fax at 336-333-2858.

Location: 1609 Clemmons St, Greensboro, NC, 27401-2177
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811057045
Provider Name
Changing Phases Behavioral Support
Credential
Provider Entity Type
Organization
Address
1609 Clemmons St, Greensboro, NC, 27401-2177
Phone Number
336-333-2542
Fax Number
336-333-2858
Provider Enumeration Date
12/11/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6604413 05 NC
8301765 05 NC
6006908 05 NC
8301765G 05 NC
institution
Provider Business Practice Location Address Details
Address
1609 Clemmons St
City
Greensboro
State
North Carolina
Zip
27406-2870
Phone Number
336-333-2542
Fax Number
336-333-2858
person
Provider Business Mailing Address Details
Address
1609 Clemmons St
City
Greensboro
State
North Carolina
Zip
27406-2870
Phone Number
336-333-2542
Fax Number
336-333-2858
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
MHL-041-794 (North Carolina)
Definition
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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