| My Goal Our Mission Services, Llc | |
|
208 Forest Hills Dr Garner NC 27529-3624 | |
| (919) 800-0016 | |
| Not Available |
| Full Name | My Goal Our Mission Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 208 Forest Hills Dr, Garner, North Carolina |
| Authorized Official Name and Position | Allison Marie Bristow-chisley (CEO) |
| Authorized Official Contact | 9195238651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Goal Our Mission Services, Llc 208 Forest Hills Dr Garner NC 27529-3624 Ph: (919) 800-0016 | My Goal Our Mission Services, Llc 208 Forest Hills Dr Garner NC 27529-3624 Ph: (919) 800-0016 |
| NPI Number | 1265747927 |
|---|---|
| Provider Enumeration Date | 08/18/2010 |
| Last Update Date | 10/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265747927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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