Organization · NPI-2

Aspirations And Miracles Community Support, LLC

Community/Behavioral Health · Rocky Mount, NC

NPI number1760605992
StatusActive
Last updated in NPPESJul 28, 2009

Details

NPI
1760605992
Entity type
Organization (NPI-2)
Legal business name
Aspirations And Miracles Community Support, LLC
Organization subpart
No
Enumeration date
Apr 10, 2007
Last updated
Jul 28, 2009

Taxonomy and licenses

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

Practice location

1621 Eastern Avenue
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 B Western
Executive Director
2524420011

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