Provider Demographics
NPI:1487952461
Name:CAROLINA ACCESS SUPPORT AND ENRICHMENT SERVICES INC.
Entity type:Organization
Organization Name:CAROLINA ACCESS SUPPORT AND ENRICHMENT SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA QP
Authorized Official - Phone:704-200-9949
Mailing Address - Street 1:5108 REAGAN DR STE 10
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28206-1395
Mailing Address - Country:US
Mailing Address - Phone:704-200-9949
Mailing Address - Fax:704-353-7233
Practice Address - Street 1:5108 REAGAN DR STE 10
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28206-1395
Practice Address - Country:US
Practice Address - Phone:704-200-9949
Practice Address - Fax:704-353-7233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency