Organization
COMMUNITY ENHANCEMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALYCIA SHAW (CHIEF EXECUTIVE OFFICER)
(336) 285-1451
Entity
Organization
Contact information
Practice address
1108 GRECADE ST, GREENSBORO, NC 27408-8729
(336) 285-1451
(336) 378-0060
Mailing address
1108 GRECADE ST, GREENSBORO, NC 27408-8729
(336) 285-1451
(336) 378-0060
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302749B
—
NC
Enumeration date
03/08/2010
Last updated
03/08/2010
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