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Organization

ASPIRATIONS AND MIRACLES COMMUNITY SUPPORT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAROLYN B WESTERN BA, CSAC (EXECUTIVE DIRECTOR)
(252) 442-0011
Entity
Organization

Contact information

Practice address
1621 EASTERN AVENUE, ROCKY MOUNT, NC 27801-6274
(252) 442-0011
(252) 442-0013
Mailing address
PO BOX 1311, ROCKY MOUNT, NC 27802-1311
(252) 442-0011
(252) 442-0013

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
NC
251S00000X
Community/Behavioral Health Agency
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8301968
NC
Enumeration date
04/10/2007
Last updated
07/28/2009
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