Organization
LIFE ENHANCEMENT SERVICES OF LOUISIANA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERB AUTHUR GRAY III (CEO/OWNER)
(704) 560-4332
Entity
Organization
Contact information
Practice address
1820 SAINT CHARLES AVE, SUITE 208, NEW ORLEANS, LA 70130-5268
(704) 516-6046
(704) 342-9584
Mailing address
230 S TRYON ST, UNIT 1010, CHARLOTTE, NC 28202-3215
(704) 560-4332
(704) 342-9584
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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