NPI 1073864864

Life Enhancement Services of Ms, LLC

Organisation Community/Behavioral Health Agency Flowood, MS

Practice location

Address: 232 Market St, Flowood, MS 39232-3339
Phone: (704) 342-9595
Mailing address: 500 E Morehead St Suite 110, Charlotte, NC 28202-2616

Authorised official

Name: Herbert Gray
Title: Ceo/Owner
Phone: (704) 342-9595

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Mississippi →

Registry record

NPI: 1073864864
Entity type: Organization
NPI issued: 20 Sep 2012
Record last updated: 20 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.