Organization
AUGUST COMMONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL DENEE BUSH LCSW LISW-CP LCAS (CLINICAL DIRECTOR)
(984) 292-4235
Entity
Organization
Contact information
Practice address
152 WIND CHIME CT, RALEIGH, NC 27615-6433
(800) 574-8511
(888) 245-5107
Mailing address
109 MARIANNA PL, GARNER, NC 27529-7683
(984) 292-4235
(888) 245-5107
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
07/16/2024
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