Provider Demographics
NPI:1982078309
Name:ENHANCE, INC.
Entity Type:Organization
Organization Name:ENHANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NEVA
Authorized Official - Middle Name:LORRAINE
Authorized Official - Last Name:STLOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-477-5209
Mailing Address - Street 1:30999 W 10 MILE RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-2609
Mailing Address - Country:US
Mailing Address - Phone:248-477-5209
Mailing Address - Fax:248-888-8576
Practice Address - Street 1:30999 W 10 MILE RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-2609
Practice Address - Country:US
Practice Address - Phone:248-477-5209
Practice Address - Fax:248-888-8576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-23
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1790819514OtherNPPES