Organization
BEHAVIORAL ENRICHMENT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLETTA LASHEA HEADEN (DIRECTOR)
(704) 968-1864
Entity
Organization
Contact information
Practice address
6316 TIARA LN APT 104, CHARLOTTE, NC 28212-8407
(704) 968-1864
Mailing address
6316 TIARA LN APT 104, CHARLOTTE, NC 28212-8407
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1915991
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301649
—
NC
Enumeration date
06/26/2007
Last updated
08/22/2020
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