Organization
LIFE ENHANCEMENT SERVICES OF NC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT ARTHUR GRAY (OWNER)
(704) 560-4332
Entity
Organization
Contact information
Practice address
13016 EASTFIELD RD STE 200-269, HUNTERSVILLE, NC 28078-6622
(704) 560-4332
Mailing address
13016 EASTFIELD RD STE 200-269, HUNTERSVILLE, NC 28078-6622
(704) 560-4332
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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