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Organization
MY GOAL OUR MISSION SERVICES, LLC
Active
Organization
MY GOAL OUR MISSION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLISON MARIE CHISLEY (OWNER)
(919) 523-8651
Entity
Organization
Contact information
Practice address
235 WEST LAKE DR, SUITE 201, FAYETTEVILLE, NC 28314
(919) 800-0016
(866) 812-0587
Mailing address
208 FOREST HILLS DR, GARNER, NC 27529-3624
(919) 800-0016
(866) 812-0587
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008212
—
NC
Enumeration date
10/16/2013
Last updated
10/24/2013
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