NPI:
1750708004
Provider Name:
CHANCE 2 CHANGE
Doing Business As: BREAK THE CYCLE
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 10D2081017
Address:
4721 E MOODY BLVD
STE 107
BUNNELL, FL
ZIP 32110
Phone:
(386) 437-0235
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CHANCE 2 CHANGE is a rehabilitation and substance use disorder clinic center in Bunnell, FL. CHANCE 2 CHANGE NPI is 1750708004. The provider is registered as an organization entity type.
The provider Is Doing Business As Break The Cycle.
The provider's business location address is:
4721 E MOODY BLVD
STE 107
BUNNELL, FL
ZIP 32110-705
Phone: (386) 437-0235
The provider's authorized official is Kimberly A Young .
The authorized official title is Ceo and has the following contact phone number (386) 333-9622.
The CLIA number assigned to this NPI record is 10D2081017 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/25/2014 and was last updated on 6/22/2023.