Provider Demographics
NPI:1376785287
Name:MAKING CHANGES MANAGEMENT GROUP INC.
Entity Type:Organization
Organization Name:MAKING CHANGES MANAGEMENT GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KENDRICK
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:910-797-6511
Mailing Address - Street 1:1426 OLDSTEAD DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-7773
Mailing Address - Country:US
Mailing Address - Phone:910-797-6511
Mailing Address - Fax:910-433-4431
Practice Address - Street 1:3401 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4551
Practice Address - Country:US
Practice Address - Phone:910-797-6511
Practice Address - Fax:910-433-4431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health