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Organization

ASPIRATIONS AND MIRACLES COMMUNITY SUPPORT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAROLYN BYRD WESTERN BS, CSAC (CHIEF EXECUTIVE OFFICER)
(252) 442-0011
Entity
Organization

Contact information

Practice address
1621 EASTERN AVE, ROCKY MOUNT, NC 27801-6274
(252) 442-0011
(252) 442-0013
Mailing address
PO BOX 1311, ROCKY MOUNT, NC 27802-1311
(252) 442-0011
(252) 442-0013

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6006671
NC
05
8301968
NC
05
8302927
NC
05
8302942
NC
05
8302986
NC
Enumeration date
11/03/2010
Last updated
11/03/2010
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