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Life Changez, Inc
Emotionally Disturbed Childrens' Residential Treatment Facility in Fuquay Varina, North Carolina
NPI 1912020637

Life Changez, Inc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Raleigh, NC. Life Changez, Inc practices in Fuquay Varina, NC. The NPI Number for Life Changez, Inc is 1912020637 and holds a License No. (North Carolina).

The current practice location address for Life Changez, Inc is 800 Perry Howard Rd, Fuquay Varina, NC and can be reached out via phone at 919-577-0021 and via fax at 919-803-2808.

Location: 800 Perry Howard Rd, Fuquay Varina, NC, 27609-8525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912020637
Provider Name
Life Changez, Inc
Credential
Provider Entity Type
Organization
Address
800 Perry Howard Rd, Fuquay Varina, NC, 27609-8525
Phone Number
919-577-0021
Fax Number
919-803-2808
Provider Enumeration Date
04/09/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6604442 05 NC
institution
Provider Business Practice Location Address Details
Address
800 Perry Howard Rd
City
Fuquay Varina
State
North Carolina
Zip
27526-1779
Phone Number
919-577-0021
Fax Number
919-803-2808
person
Provider Business Mailing Address Details
Address
800 Perry Howard Rd
City
Fuquay Varina
State
North Carolina
Zip
27526-1779
Phone Number
919-577-0021
Fax Number
919-803-2808
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
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
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
MHL-092-795 (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 3
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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