| 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 |
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