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A Mother'S Love Enrichment Agency Extended

Community/Behavioral Health in Fayetteville, NC. Organization (NPI-2).

NPI number1467591412
StatusActive
Last updated in NPPESJun 13, 2008

Details

NPI
1467591412
Entity type
Organization (NPI-2)
Legal business name
A Mother'S Love Enrichment Agency Extended
Organization subpart
No
Enumeration date
Feb 6, 2007
Last updated
Jun 13, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Other names

  • A Mother'S Love Enrichment Agency (Doing Business As)

Practice location

3525 Torbay Dr
Fayetteville, NC 28311-2462

Phone 910-630-5037

Mailing address

3525 Torbay Dr
Fayetteville, NC 28311-2462

Phone 910-630-5037

Authorized official

Queesha Tolona Atkinson
Owner Agency Controls Director
9106305037

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