Life Enhancement Services of Louisiana, Inc.
NPI #1013178524 in New Orleans, Louisiana
Provider Information
- NPI Number
- 1013178524
- Entity Type
- Organization
- Organization Name
- Life Enhancement Services of Louisiana, Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 18, 2008
- Last Updated
- Jun 18, 2008
Practice Location
- Address
- 1820 SAINT CHARLES AVE
- Address 2
- SUITE 208
- City
- New Orleans
- State
- Louisiana
- ZIP Code
- 70130-5268
- Phone
- (704) 516-6046
Authorized Official
- Name
- MR. HERB AUTHUR GRAY III
- Title
- CEO/OWNER
- Phone
- (704) 560-4332
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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