Organization
CUSTOMCARE CBC, LLC
Active
Parent organization
CUSTOMCARE CBC, LLC
Other names
Amivie
Organization subpart
Yes
Provider details
NPI number
Legal business name
CUSTOMCARE CBC, LLC
Authorized official
KENNETH DUARTE (CFO)
(336) 553-5912
Entity
Organization
Contact information
Practice address
2233 UNIVERSITY AVE W, SUITE 225, SAINT PAUL, MN 55114-1696
(651) 377-1122
(888) 688-3674
Mailing address
4000 PARAMOUNT PKWY STE 100, MORRISVILLE, NC 27560-4702
(919) 390-2980
(919) 390-1888
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
10/23/2025
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