Organization
A-1 COMMUNITY SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYLON VONDWELL WHITLEY (OWNER)
(919) 649-4757
Entity
Organization
Contact information
Practice address
523 S CHESTNUT ST, HENDERSON, NC 27536-4102
(252) 433-0255
(252) 436-6575
Mailing address
523 S CHESTNUT ST, HENDERSON, NC 27536-4102
(252) 433-0255
(252) 436-6575
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302336
—
NC
Enumeration date
01/10/2007
Last updated
01/22/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up