| Aci Support Specialists, Llc | |
|
692 Dowfield Dr Fayetteville NC 28311-2068 | |
| (910) 705-7203 | |
| Not Available |
| Full Name | Aci Support Specialists, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 692 Dowfield Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Tim J Wadford (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9198612000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aci Support Specialists, Llc 8504 Six Forks Rd Ste 101 Raleigh NC 27615-3262 Ph: (919) 861-2000 | Aci Support Specialists, Llc 692 Dowfield Dr Fayetteville NC 28311-2068 Ph: (910) 705-7203 |
| NPI Number | 1770058323 |
|---|---|
| Provider Enumeration Date | 10/10/2018 |
| Last Update Date | 10/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770058323 | NPI | - | NPPES |
| 3408221 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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