A-1 Community Support LLC
Organization Active NPI Community/Behavioral Health Agency · Henderson, NC
NPI 1609926112 · NPPES record last updated Jan 22, 2009
Key facts
- NPI
- 1609926112
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- A-1 COMMUNITY SUPPORT LLC
- Practice address
- 523 S Chestnut St
Henderson, NC 27536-4102 - Phone
- (252) 433-0255
- Fax
- (252) 436-6575
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Dwaylon Vondwell Whitley
- Title
- Owner
- Phone
- (919) 649-4757
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- A-1 Community Support LLC
Locations
523 S Chestnut St
Henderson, NC 27536
Phone (252) 433-0255
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
523 S Chestnut St
Henderson, NC 27536-4102
Mailing address
523 S Chestnut St
Henderson, NC 27536-4102
Phone (252) 433-0255
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8302336 | Medicaid | NC |
Other providers in Henderson, NC
- A & T Enterprise
- A Absolute Care Inc
- A Caring Touch LLC
- A-1 Community Support LLC
- A-1 Community Support LLC
- A.G.a.P.E. Community Development Corporation, Inc.
- Abbott Chiropractic PLLC
- Hannah Marie Abbott
- Marcus McCray Abbott
- Tariq Abo-Kamil
All providers in Henderson, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.