Organization
ACI SUPPORT SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM WADFORD (DIRECTOR)
(919) 861-2000
Entity
Organization
Contact information
Practice address
115 EASTBROOK DR, GREENVILLE, NC 27858-4216
(919) 861-2000
Mailing address
8504 SIX FORKS RD, SUITE 101, RALEIGH, NC 27615-3261
(919) 861-2000
(919) 861-2001
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408221
—
NC
Enumeration date
03/10/2015
Last updated
03/10/2015
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