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Aspirations and Miracles Community Support, LLC

Organization Active NPI Community/Behavioral Health Agency · Rocky Mount, NC

NPI 1760605992 · NPPES record last updated Jul 28, 2009

Key facts

NPI
1760605992
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
ASPIRATIONS AND MIRACLES COMMUNITY SUPPORT, LLC
Practice address
1621 Eastern Avenue
Rocky Mount, NC 27801-6274
Phone
(252) 442-0011
Fax
(252) 442-0013
NPI assigned
Apr 10, 2007
Organization subpart
No

Authorized official

Name
Mrs. Carolyn B Western, BA, CSAC
Title
Executive Director
Phone
(252) 442-0011

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Aspirations and Miracles Community Support LLC (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NC
Community/Behavioral Health Agency 251S00000X NC Yes

Addresses

Primary practice location

1621 Eastern Avenue
Rocky Mount, NC 27801-6274

Mailing address

PO Box 1311
Rocky Mount, NC 27802-1311
Phone (252) 442-0011

Other identifiers

IdentifierTypeStateIssuer
8301968MedicaidNC

Other providers in Rocky Mount, NC

All providers in Rocky Mount, NC · Community/Behavioral Health Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.