Provider Demographics
NPI:1497081418
Name:ASPIRATIONS AND MIRACLES COMMUNITY SUPPORT LLC
Entity Type:Organization
Organization Name:ASPIRATIONS AND MIRACLES COMMUNITY SUPPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-673-2146
Mailing Address - Street 1:PO BOX 765
Mailing Address - Street 2:
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28335-0765
Mailing Address - Country:US
Mailing Address - Phone:910-892-0000
Mailing Address - Fax:910-892-1984
Practice Address - Street 1:701 E BROAD ST STE E
Practice Address - Street 2:
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-5101
Practice Address - Country:US
Practice Address - Phone:910-892-0000
Practice Address - Fax:910-892-1984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-27
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health