Organization
GRACIOUS GROWTH NC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVI MARMORSTEIN (CEO)
(917) 771-4207
Entity
Organization
Contact information
Practice address
3600 N DUKE ST, DURHAM, NC 27704-1709
(917) 771-4207
Mailing address
3600 N DUKE ST STE 1, DURHAM, NC 27704-1769
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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