Mqa Enrichment Services Llc | |
5300 Memorial Dr Ste 121 Stone Mountain GA 30083-3154 | |
(919) 710-4252 | |
Not Available |
Full Name | Mqa Enrichment Services Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 5300 Memorial Dr Ste 121, Stone Mountain, Georgia |
Authorized Official Name and Position | Denise Wiggins (CEO) |
Authorized Official Contact | 9197104252 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mqa Enrichment Services Llc Po Box 634 Wilmington NC 28402-0634 Ph: () - | Mqa Enrichment Services Llc 5300 Memorial Dr Ste 121 Stone Mountain GA 30083-3154 Ph: (919) 710-4252 |
NPI Number | 1043905201 |
---|---|
Provider Enumeration Date | 04/05/2023 |
Last Update Date | 04/05/2023 |
Certification Date | 04/05/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043905201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
News Archive
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