Provider Demographics
NPI:1548356512
Name:NEUSE ENTERPRISES, INC
Entity type:Organization
Organization Name:NEUSE ENTERPRISES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:
Authorized Official - Last Name:DEANS
Authorized Official - Suffix:JR
Authorized Official - Credentials:QP
Authorized Official - Phone:252-523-0817
Mailing Address - Street 1:PO BOX 1715
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28503-1715
Mailing Address - Country:US
Mailing Address - Phone:252-523-0817
Mailing Address - Fax:252-527-2457
Practice Address - Street 1:3800 COMMERCE DR.
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28503
Practice Address - Country:US
Practice Address - Phone:252-523-0817
Practice Address - Fax:252-527-2457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-054003251S00000X
NCMHL054003251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Yes251S00000XAgenciesCommunity/Behavioral Health