Organization · NPI-2

Aspirations And Miracles Community Support, LLC

Community/Behavioral Health · Rocky Mount, NC

NPI number1376844639
StatusActive
Last updated in NPPESNov 3, 2010

Details

NPI
1376844639
Entity type
Organization (NPI-2)
Legal business name
Aspirations And Miracles Community Support, LLC
Organization subpart
No
Enumeration date
Nov 3, 2010
Last updated
Nov 3, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
251B00000X Case Management––

Practice location

1621 Eastern Ave
Rocky Mount, NC 27801-6274

Phone 252-442-0011 · Fax 252-442-0013

Mailing address

Po Box 1311
Rocky Mount, NC 27802-1311

Phone 252-442-0011 · Fax 252-442-0013

Authorized official

Carolyn Byrd Western
Chief Executive Officer
2524420011

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