| Amw Foundation | |
|
907 Hay St Fayetteville NC 28305-5366 | |
| (919) 802-1739 | |
| (919) 850-2325 |
| Full Name | Amw Foundation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 907 Hay St, Fayetteville, North Carolina |
| Authorized Official Name and Position | Chet West (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9198502155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amw Foundation 3209 Gresham Lake Rd Suite 113 Raleigh NC 27615-3757 Ph: (919) 850-2155 | Amw Foundation 907 Hay St Fayetteville NC 28305-5366 Ph: (919) 802-1739 |
| NPI Number | 1609182534 |
|---|---|
| Provider Enumeration Date | 08/30/2010 |
| Last Update Date | 08/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609182534 | NPI | - | NPPES |
| 6008087 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6507 (North Carolina) | Primary |
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