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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
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