Provider Demographics
NPI:1518309731
Name:LILA COMMUNITY ENHANCE SERVICES INC.
Entity Type:Organization
Organization Name:LILA COMMUNITY ENHANCE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:BSW MA
Authorized Official - Phone:980-298-5181
Mailing Address - Street 1:13178 NC HIGHWAY 130 E
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28340-9597
Mailing Address - Country:US
Mailing Address - Phone:910-535-4168
Mailing Address - Fax:910-535-4184
Practice Address - Street 1:7126 FOUNDERS WAY
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-9443
Practice Address - Country:US
Practice Address - Phone:980-298-5181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL078207322D00000X, 324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility