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Organization

LIFE ENHANCEMENT SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HERB GRAY (OWNER)
(704) 342-3595
Entity
Organization

Contact information

Practice address
777 CLEVELAND AVE SW, SUITE 516, ATLANTA, GA 30315-7129
(404) 767-7855
(404) 767-7858
Mailing address
500 E MOREHEAD ST, SUITE 110, CHARLOTTE, NC 28202-2616
(704) 342-3595
(704) 342-9584

Taxonomy

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

Other

Enumeration date
01/28/2009
Last updated
02/14/2013
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