# JOHNSON ENRICHMENT SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851913966
- **Authorized official:** MR. CLARENCE E JOHNSON III BA, QP (CEO)
- **Authorized official phone:** (336) 705-5786

## Contact information

- **Practice address:** 221 FOXCROFT DR, WINSTON SALEM, NC 27103-5313
- **Practice address phone:** (336) 705-5786
- **Mailing address:** 221 FOXCROFT DR, WINSTON SALEM, NC 27103-5313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/12/2020
- **Last updated:** 12/16/2020