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Organization

COMMUNITY ENRICHMENT SERVICES, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ERIC T SINCLAIR (COO)
(919) 848-4013
Entity
Organization

Contact information

Practice address
172 MINE LAKE CT, SUITE 100, RALEIGH, NC 27615-6417
(919) 848-4013
(919) 573-0902
Mailing address
174 MINE LAKE CT, SUITE 100, RALEIGH, NC 27615-6417
(919) 848-4013
(919) 573-0902

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
104312
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8302357
NC
Enumeration date
12/06/2010
Last updated
12/06/2010
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