Enhanced Destiny Services
NPI #1578097069 in Carriere, Mississippi
Provider Information
- NPI Number
- 1578097069
- Entity Type
- Organization
- Organization Name
- Enhanced Destiny Services
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 12, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 406 RAYBURN RD
- City
- Carriere
- State
- Mississippi
- ZIP Code
- 39426-8381
- Phone
- (601) 590-6526
Authorized Official
- Name
- LISA ELLIS
- Title
- HUMAN RESOURCES
- Phone
- (504) 373-6877
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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