Life Enhancement Services, Inc.

NPI #1811143407 in Tuskegee, Alabama

Provider Information

NPI Number: 1811143407
Entity Type: Organization
Organization Name: Life Enhancement Services, Inc.
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Aug 14, 2008
Last Updated: Aug 14, 2008

Practice Location

Address: 108 EASTSIDE ST.
Address 2: 103
City: Tuskegee
State: Alabama
ZIP Code: 36083-1701
Phone: (704) 727-1122

Authorized Official

Name: MR. DEMETRIUS CRAYTON
Title: EXECUTIVE DIRECTOR
Phone: (704) 299-2821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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