Provider Demographics
NPI:1447415435
Name:ABLECARE CORPORATION
Entity Type:Organization
Organization Name:ABLECARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/VP
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-218-7008
Mailing Address - Street 1:305 S WESTGATE DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-1682
Mailing Address - Country:US
Mailing Address - Phone:336-218-7008
Mailing Address - Fax:336-218-7555
Practice Address - Street 1:305 S WESTGATE DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1682
Practice Address - Country:US
Practice Address - Phone:336-218-7008
Practice Address - Fax:336-218-7555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-19
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health