Delta Behavioral Group, PLLC
Community/Behavioral Health in Charlotte, NC. Organization (NPI-2).
NPI number1487904041
StatusActive
Last updated in NPPESApr 30, 2019
Details
- NPI
- 1487904041
- Entity type
- Organization (NPI-2)
- Legal business name
- Delta Behavioral Group, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 11, 2012
- Last updated
- Apr 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 4297 | NC | Yes |
Practice location
10926 S Tryon St Ste ECharlotte, NC 28273-4154
Phone 855-201-5498 · Fax 888-849-4249
Mailing address
10926 S Tryon St Ste ECharlotte, NC 28273-4154
Phone 855-201-5498 · Fax 888-849-4249
Authorized official
Michael Machose
Managing Member/Behavior Analyst
7049318870
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