Provider Demographics
NPI:1396004602
Name:THE ENHANCEMENT CENTER, INC.
Entity Type:Organization
Organization Name:THE ENHANCEMENT CENTER, INC.
Other - Org Name:THE ENHANCEMENT CENTER - CLAYTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:
Authorized Official - Last Name:OKWOSHAH
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:919-819-3882
Mailing Address - Street 1:896 GULLEY DR
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-2189
Mailing Address - Country:US
Mailing Address - Phone:919-243-8906
Mailing Address - Fax:919-359-8167
Practice Address - Street 1:896 GULLEY DR
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-2189
Practice Address - Country:US
Practice Address - Phone:919-359-8167
Practice Address - Fax:919-212-8581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-07
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-051-200251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8303479Medicaid