Community Enrichment Services, Llc. | |
172 Mine Lake Ct Suite 100 Raleigh NC 27615-6417 | |
(919) 848-4013 | |
(919) 573-0902 |
Full Name | Community Enrichment Services, Llc. |
---|---|
Speciality | Community/behavioral Health |
Location | 172 Mine Lake Ct, Raleigh, North Carolina |
Authorized Official Name and Position | Eric T Sinclair (COO) |
Authorized Official Contact | 9198484013 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Community Enrichment Services, Llc. 174 Mine Lake Ct Suite 100 Raleigh NC 27615-6417 Ph: (919) 848-4013 | Community Enrichment Services, Llc. 172 Mine Lake Ct Suite 100 Raleigh NC 27615-6417 Ph: (919) 848-4013 |
NPI Number | 1598068058 |
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Provider Enumeration Date | 12/06/2010 |
Last Update Date | 12/06/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598068058 | NPI | - | NPPES |
8302357 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 104312 (North Carolina) | Primary |
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