# ARJ LLC \#2

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

## Provider details

- **NPI number:** 1760734495
- **Authorized official:** MR. ALVIN JASPER (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (704) 910-5395

## Contact information

- **Practice address:** 2215 MURCHISON RD STE 3&4, FAYETTEVILLE, NC 28301-3567
- **Practice address phone:** (910) 703-8710
- **Mailing address:** 2215 MURCHISON RD STE 3&4, FAYETTEVILLE, NC 28301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 10/04/2012
- **Last updated:** 10/04/2012
