Organization
MOMMY ANGELS SPECIALTY CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENETTA HENDERSON (CEO, CFO)
(919) 247-6824
Entity
Organization
Contact information
Practice address
1 DUNWOODY PARK STE 128, DUNWOODY, GA 30338-6723
(919) 247-6824
Mailing address
1 DUNWOODY PARK STE 128, DUNWOODY, GA 30338-6723
(919) 247-6824
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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