Organization
AMAZING COMMUNITY SUPPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARENA NELSON (PRESIDENT)
(910) 630-2025
Entity
Organization
Contact information
Practice address
106 HAY ST, SUITE 210, FAYETTEVILLE, NC 28301-5650
(910) 630-2025
Mailing address
106 HAY ST, SUITE 210, FAYETTEVILLE, NC 28301-5650
(910) 630-2025
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
NC
Enumeration date
04/24/2009
Last updated
04/24/2009
Update your record
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