Organization
A MOTHER'S LOVE ENRICHMENT AGENCY EXTENDED
Active
Other names
A Mother's Love Enrichment Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MS. QUEESHA TOLONA ATKINSON (OWNER AGENCY CONTROLS DIRECTOR)
(910) 630-5037
Entity
Organization
Contact information
Practice address
3525 TORBAY DR, FAYETTEVILLE, NC 28311-2462
(910) 630-5037
Mailing address
3525 TORBAY DR, FAYETTEVILLE, NC 28311-2462
(910) 630-5037
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418208
—
NC
Enumeration date
02/06/2007
Last updated
06/13/2008
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