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Organization
REANIMATIONS
Active
Organization
REANIMATIONS
Active
Other names
Reanimations Behavioral Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL N/A BENITEZ BS, QMHP, CPSS (PRESIDENT/CEO)
(704) 666-5218
Entity
Organization
Contact information
Practice address
208 S CHURCH ST, GASTONIA, NC 28054-4233
(704) 666-5218
(704) 666-5218
Mailing address
4423 FAIR SPRINGS RD, CHARLOTTE, NC 28227-5939
(704) 264-9717
(704) 666-5218
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NC
251C00000X
Developmentally Disabled Services Day Training Agency
—
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
251V00000X
Voluntary or Charitable Agency
—
NC
Other
Enumeration date
09/11/2017
Last updated
02/19/2021
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