Provider Demographics
NPI:1952637977
Name:ASPIRATIONS AND MIRALCES COMMUNITY SUPPORT SERVICES
Entity Type:Organization
Organization Name:ASPIRATIONS AND MIRALCES COMMUNITY SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MAARCKIT
Authorized Official - Middle Name:L
Authorized Official - Last Name:GARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-360-9806
Mailing Address - Street 1:PO BOX 1311
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-1311
Mailing Address - Country:US
Mailing Address - Phone:919-209-9835
Mailing Address - Fax:919-209-9837
Practice Address - Street 1:723 S 3RD ST
Practice Address - Street 2:SUITE A
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-4399
Practice Address - Country:US
Practice Address - Phone:919-209-9835
Practice Address - Fax:919-209-9837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health