NPI 1265290274 · live from the CMS NPI Registry
Aba Grateful Care Nc
Community/Behavioral Health in Charlotte, NC. National Provider Identifier 1265290274, active.
NPI record
| NPI | 1265290274 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Community/Behavioral Health 251S00000X |
| Practice location | 10926 David Taylor Dr Ste 120, Charlotte, NC 28262 |
| Practice phone | 917-285-0113 |
| Mailing address | 78 Beach 2nd St, Lawrence, NY 11559 |
| Enumerated | March 13, 2024 |
| Last updated | April 10, 2024 |
| Authorized official | Reuven Levovitz, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Community/Behavioral Health primary | 251S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.