Provider Demographics
NPI:1063647378
Name:4CHANGEPROJECT, INC
Entity type:Organization
Organization Name:4CHANGEPROJECT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:CSAC
Authorized Official - Phone:919-491-1512
Mailing Address - Street 1:108 CHAMFER PL
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-6120
Mailing Address - Country:US
Mailing Address - Phone:919-491-1512
Mailing Address - Fax:919-294-6852
Practice Address - Street 1:108 CHAMFER PL
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-6120
Practice Address - Country:US
Practice Address - Phone:919-491-1512
Practice Address - Fax:919-294-6852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-17
Last Update Date:2009-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health