| Enrichment Services Group Llc | |
|
140 N Steele St Ste 17 Sanford NC 27330-3967 | |
| (919) 342-8767 | |
| (919) 869-2558 |
| Full Name | Enrichment Services Group Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 140 N Steele St Ste 17, Sanford, North Carolina |
| Authorized Official Name and Position | Laquana Richmond (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9193428767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enrichment Services Group Llc 3308 Hunting Bay Dr Spring Lake NC 28390-1543 Ph: (336) 212-9236 | Enrichment Services Group Llc 140 N Steele St Ste 17 Sanford NC 27330-3967 Ph: (919) 342-8767 |
| NPI Number | 1215589817 |
|---|---|
| Provider Enumeration Date | 07/12/2019 |
| Last Update Date | 07/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215589817 | NPI | - | NPPES |
| 1801183850 | Medicaid | NC |
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