Provider Demographics
NPI:1144587866
Name:ACE ENRICHMENT SERVICES, INC.
Entity type:Organization
Organization Name:ACE ENRICHMENT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAY
Authorized Official - Middle Name:C
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:910-918-5707
Mailing Address - Street 1:204 WEST VIRGIL ST.
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-8563
Mailing Address - Country:US
Mailing Address - Phone:910-918-8094
Mailing Address - Fax:
Practice Address - Street 1:204 W VIRGIL ST
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-4018
Practice Address - Country:US
Practice Address - Phone:910-918-8094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health