# AMW FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538478268
- **Authorized official:** MR. CHESTER MCKINLEY WEST (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (919) 850-2155

## Contact information

- **Practice address:** 3209 GRESHAM LAKE RD, SUITE113, RALEIGH, NC 27615-3757
- **Practice address phone:** (919) 850-2155
- **Practice address fax:** (919) 850-2325
- **Mailing address:** 5012D LANSING DR, WINSTON SALEM, NC 27105
- **Mailing address phone:** (919) 850-2155
- **Mailing address fax:** (919) 850-2325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NC | Yes |

## Other

- **Enumeration date:** 09/29/2010
- **Last updated:** 09/29/2010