Organization
ACI SUPPORT SPECIALISTS, LLC
Active
Parent organization
DUNGARVIN NORTH CAROLINA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DUNGARVIN NORTH CAROLINA, LLC
Authorized official
LORI KRESS (CEO)
(651) 789-5906
Entity
Organization
Contact information
Practice address
834 TIMBER DR, GARNER, NC 27529-4850
(919) 861-2000
(919) 861-2001
Mailing address
1444 NORTHLAND DR STE 200, MENDOTA HEIGHTS, MN 55120-1032
(651) 699-0206
(651) 699-0799
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408221
—
NC
05
—
8300977
—
NC
Enumeration date
01/11/2007
Last updated
10/08/2024
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