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Organization

AMAZING COMMUNITY SUPPORT TEAM SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KARENA KING NELSON (OWNER)
(910) 261-0151
Entity
Organization

Contact information

Practice address
106-108 HAY STREET SUITE 210, FAYETTEVILLE, NC 28301-5650
(910) 261-0151
(910) 630-5079
Mailing address
106-108 HAY STREET SUITE 210, FAYETTEVILLE, NC 28301-5650
(910) 261-0151
(910) 630-5079

Taxonomy

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

Other

Enumeration date
04/23/2009
Last updated
04/23/2009
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