National Provider Identifier Database

CHANGEPOINT LLC
Rehabilitation, Substance Use Disorder


Contact Information

CHANGEPOINT, LLC
1020 MAIN ST
LEWISTON, ID83501-1842
Phone: 208-750-1000
Fax: 208-750-1009
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for CHANGEPOINT, LLC

NPI Number 1396189957
Legal business name
LBN
CHANGEPOINT, LLC
Authorized official BEVERLY FOWLER - (EXECUTIVE DIRECTOR/ OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/24/2013
Last updated 06/23/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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