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Organization

LIFE ENHANCEMENT CHARITABLE FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HOUSTON MCGOWAN (PRESIDENT OF THE BOARD)
(704) 342-9595
Entity
Organization

Contact information

Practice address
701 E 2ND AVE STE 4, GASTONIA, NC 28054-7144
(704) 342-9595
Mailing address
701 E 2ND AVE STE 4, GASTONIA, NC 28054-7144
(704) 342-9595

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NC

Other

Enumeration date
09/10/2009
Last updated
09/14/2009
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