Prestige Senior Enrichment Center Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Browns Summit, NC
NPI 1124589528 · NPPES record last updated Mar 27, 2019
Key facts
- NPI
- 1124589528
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- PRESTIGE SENIOR ENRICHMENT CENTER INC
- Practice address
- 2104 Northbay Dr
Browns Summit, NC 27214-8701 - Phone
- (336) 912-8462
- Fax
- (336) 763-8405
- NPI assigned
- Mar 27, 2019
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kimberly Lide
- Title
- President
- Phone
- (336) 340-4734
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes | ||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | |||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X |
Addresses
Primary practice location
2104 Northbay Dr
Browns Summit, NC 27214-8701
Mailing address
2104 Northbay Dr
Browns Summit, NC 27214-8701
Phone (336) 912-8462
Other names
- Prestige Enrichment Center INC
Other providers in Browns Summit, NC
- NP Primary Care House Calls
- Francisca Okafor
- Ariane Michelle Omari
- Warren T Pickard II
- Malesha Poole
- R.J. Whitsett Residential Facility
- R.J. Whitsett Residential Services, Inc.
- Gloria Ramirez
- Regent Therapy L.L.C.
- Rha Health Services NC LLC
All providers in Browns Summit, NC · Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.