OrganizationActive
Life Center for Change
NPI 1720156011 · Community/Behavioral Health Agency · Rigby, ID
Provider details
- NPI number
- 1720156011
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Colleen Gray, Owner(208) 745-0467
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
240 S 5th W Ste D
Rigby, ID 83442-1476
Phone: (208) 745-0467
Fax: (208) 745-0409
Street-level locationGet directions
Mailing address
240 S 5th W Ste D
Rigby, ID 83442-1476
Registry dates
- Enumerated
- 2006-12-03
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.