Provider Demographics
NPI:1528436599
Name:ACHIEVEMENTS BEYOND CHALLENGES, INC
Entity type:Organization
Organization Name:ACHIEVEMENTS BEYOND CHALLENGES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:HAFITZA
Authorized Official - Middle Name:NIAMBA
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-644-7392
Mailing Address - Street 1:1326 PRINCE HALL AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28206-1452
Mailing Address - Country:US
Mailing Address - Phone:786-503-4331
Mailing Address - Fax:
Practice Address - Street 1:1326 PRINCE HALL AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28206-1452
Practice Address - Country:US
Practice Address - Phone:786-503-4331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health