Amazing Community Support Team Services | |
106-108 Hay Street Suite 210 Fayetteville NC 28301-5650 | |
(910) 261-0151 | |
(910) 630-5079 |
Full Name | Amazing Community Support Team Services |
---|---|
Speciality | Community/behavioral Health |
Location | 106-108 Hay Street Suite 210, Fayetteville, North Carolina |
Authorized Official Name and Position | Karena King Nelson (OWNER) |
Authorized Official Contact | 9102610151 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Amazing Community Support Team Services 106-108 Hay Street Suite 210 Fayetteville NC 28301-5650 Ph: (910) 261-0151 | Amazing Community Support Team Services 106-108 Hay Street Suite 210 Fayetteville NC 28301-5650 Ph: (910) 261-0151 |
NPI Number | 1639313505 |
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Provider Enumeration Date | 04/23/2009 |
Last Update Date | 04/23/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639313505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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