Organization · NPI-2

Amw Foundation

Clinic/Center, Mental Health (Including Community Mental Health Center) · Raleigh, NC

NPI number1760528772
StatusActive
Last updated in NPPESNov 5, 2012

Details

NPI
1760528772
Entity type
Organization (NPI-2)
Legal business name
Amw Foundation
Organization subpart
No
Enumeration date
Jan 29, 2007
Last updated
Nov 5, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

3209 Gresham Lake Rd
113
Raleigh, NC 27615-4151

Phone 919-850-2155 · Fax 919-850-2353

Mailing address

3209 Gresham Lake Rd
113
Raleigh, NC 27615-3757

Phone 919-850-2155 · Fax 919-850-2353

Authorized official

Chet West
Director Of Operations
9198996740

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