Hidden Light Aba Nc Llc | |
525 N Tryon St Ste 1600 Charlotte NC 28202-0213 | |
(252) 431-0352 | |
Not Available |
Full Name | Hidden Light Aba Nc Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 525 N Tryon St Ste 1600, Charlotte, North Carolina |
Authorized Official Name and Position | Boruch Stefansky (OPERATIONS MANAGER) |
Authorized Official Contact | 2524310352 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hidden Light Aba Nc Llc 525 N Tryon St Ste 1600 Charlotte NC 28202-0213 Ph: () - | Hidden Light Aba Nc Llc 525 N Tryon St Ste 1600 Charlotte NC 28202-0213 Ph: (252) 431-0352 |
NPI Number | 1982440699 |
---|---|
Provider Enumeration Date | 07/02/2024 |
Last Update Date | 07/17/2024 |
Certification Date | 07/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982440699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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