| NPI | 1124589528 |
|---|---|
| Doing Business As | PRESTIGE ENRICHMENT CENTER INC |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LIDE President 336-340-4734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |