Organization
MY GOAL OUR MISSION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLISON MARIE CHISLEY (OWNER)
(919) 523-8651
Entity
Organization
Contact information
Practice address
235 WEST LAKE DR, SUITE 201, FAYETTEVILLE, NC 28314
(919) 800-0016
(866) 812-0587
Mailing address
208 FOREST HILLS DR, GARNER, NC 27529-3624
(919) 800-0016
(866) 812-0587
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008212
—
NC
Enumeration date
10/16/2013
Last updated
10/24/2013
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