Prestige Senior Enrichment Center INC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Browns Summit, NC. Organization (NPI-2).
NPI number1124589528
StatusActive
Last updated in NPPESMar 27, 2019
Details
- NPI
- 1124589528
- Entity type
- Organization (NPI-2)
- Legal business name
- Prestige Senior Enrichment Center INC
- Organization subpart
- No
- Enumeration date
- Mar 27, 2019
- Last updated
- Mar 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QA0600X | Clinic/Center, Adult Day Care | – | – | |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – | |
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | – | – |
Other names
- Prestige Enrichment Center INC (Doing Business As)
Practice location
2104 Northbay DrBrowns Summit, NC 27214-8701
Phone 336-912-8462 · Fax 336-763-8405
Mailing address
2104 Northbay DrBrowns Summit, NC 27214-8701
Phone 336-912-8462 · Fax 336-763-8405
Authorized official
Kimberly Lide
President
3363404734
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