Organization · NPI-2
Aba Grateful Care Nc
Community/Behavioral Health · Charlotte, NC
NPI number1265290274
StatusActive
Last updated in NPPESApr 10, 2024
Details
- NPI
- 1265290274
- Entity type
- Organization (NPI-2)
- Legal business name
- Aba Grateful Care Nc
- Organization subpart
- No
- Enumeration date
- Mar 13, 2024
- Certification date
- Apr 10, 2024
- Last updated
- Apr 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – |
Practice location
10926 David Taylor Dr Ste 120Charlotte, NC 28262-0039
Phone 917-285-0113
Mailing address
78 Beach 2nd StLawrence, NY 11559-2900
Phone 917-285-0113
Authorized official
Reuven Levovitz
Ceo
9172850113
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