Organization
ENHANCED THERAPEUTIC SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MONIQUE GREEN (OWNER)
(252) 320-3222
Entity
Organization
Contact information
Practice address
4601A E 10TH ST, GREENVILLE, NC 27858-9414
(252) 320-3222
Mailing address
2805 MADISON GROVE RD, GREENVILLE, NC 27858-7238
(252) 320-3222
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251T00000X
PACE Provider Organization
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
07/24/2009
Last updated
10/04/2012
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