Organization
AMAZING LOVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEWIS BARTELS (MANAGING DIRECTOR)
(478) 919-8881
Entity
Organization
Contact information
Practice address
1201 W CROWELL ST, MONROE, NC 28112-4535
(478) 919-8881
(803) 802-3915
Mailing address
1201 W CROWELL ST, MONROE, NC 28112-4535
(478) 919-8881
(803) 802-3915
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
10/27/2020
Last updated
05/31/2024
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