| Amw Foundation | |
|
3209 Gresham Lake Rd Suite113 Raleigh NC 27615-3757 | |
| (919) 850-2155 | |
| (919) 850-2325 |
| Full Name | Amw Foundation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3209 Gresham Lake Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Chester Mckinley 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 5012d Lansing Dr Winston Salem NC 27105 Ph: (919) 850-2155 | Amw Foundation 3209 Gresham Lake Rd Suite113 Raleigh NC 27615-3757 Ph: (919) 850-2155 |
| NPI Number | 1538478268 |
|---|---|
| Provider Enumeration Date | 09/29/2010 |
| Last Update Date | 09/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538478268 | NPI | - | NPPES |
| 6008133 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (North Carolina) | Primary |
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