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Organization
THE ENOLA GROUP
Active
Organization
THE ENOLA GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS GENTRY PUGH MA (EXECUTIVE DIRECTOR)
(828) 604-4906
Entity
Organization
Contact information
Practice address
504A E UNION ST, MORGANTON, NC 28655-3456
(828) 604-4906
(828) 433-5520
Mailing address
PO BOX 250, MORGANTON, NC 28680-0250
(828) 438-6484
(828) 438-6483
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
MHL-012-084
NC
251S00000X
Community/Behavioral Health Agency
Primary
MHL-012-084
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301023
—
NC
Enumeration date
01/31/2007
Last updated
10/16/2017
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