| Life Enhancement Services Of Mi, Llc | |
|
500 E Morehead St Suite 110 Charlotte NC 28202-2616 | |
| (704) 342-9595 | |
| Not Available |
| Full Name | Life Enhancement Services Of Mi, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 E Morehead St, Charlotte, North Carolina |
| Authorized Official Name and Position | Herbert Gray (CEO/OWNER) |
| Authorized Official Contact | 7043429595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Enhancement Services Of Mi, Llc 500 E Morehead St Suite 110 Charlotte NC 28202-2616 Ph: () - | Life Enhancement Services Of Mi, Llc 500 E Morehead St Suite 110 Charlotte NC 28202-2616 Ph: (704) 342-9595 |
| NPI Number | 1073867164 |
|---|---|
| Provider Enumeration Date | 10/29/2012 |
| Last Update Date | 10/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073867164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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