Organization
AMW FOUNDATION
Active
Other names
AMW FOUNDATION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHET WEST (DIRECTOR OF OPERATIONS)
(919) 850-2155
Entity
Organization
Contact information
Practice address
907 HAY ST, FAYETTEVILLE, NC 28305-5366
(919) 802-1739
(919) 850-2325
Mailing address
3209 GRESHAM LAKE RD, SUITE 113, RALEIGH, NC 27615-3757
(919) 850-2155
(919) 850-2325
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6507
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008087
—
NC
Enumeration date
08/30/2010
Last updated
08/30/2010
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