Organization
LIFE ENHANCEMENT SERVICES OF LOUISIANA, INC.
Active
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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