NPI 1902387400

Living Change Corporation

Organisation Developmentally Disabled Services Day Training Agency Marietta, GA

Practice location

Address: 301 Casteel Rd SW, Marietta, GA 30064-1611
Phone: (678) 570-0880
Fax: (678) 290-2850

Authorised official

Name: Carol Coulthurst
Title: Ceo
Phone: (678) 570-0880

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X Licence CLA005765 (GA)

Other Day Training, Developmentally Disabled Services providers in Georgia →

Registry record

NPI: 1902387400
Entity type: Organization
NPI issued: 23 Aug 2018
Record last updated: 23 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.