Organization
PRESTIGE SENIOR ENRICHMENT CENTER INC
Active
Other names
Prestige Enrichment Center INC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY LIDE (PRESIDENT)
(336) 340-4734
Entity
Organization
Contact information
Practice address
2104 NORTHBAY DR, BROWNS SUMMIT, NC 27214-8701
(336) 912-8462
(336) 763-8405
Mailing address
2104 NORTHBAY DR, BROWNS SUMMIT, NC 27214-8701
(336) 912-8462
(336) 763-8405
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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