| NPI | 1366015455 |
|---|---|
| Other Name | LIFE ENHANCEMENT SERVICES MARYLAND |
| Entity Type | Organization |
| Authorized Contact | HERBERT GRAY CEO 202-269-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2023-02-26 |