Organization
A LEAP OF FAITH, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN CURTIS JENKINS (OWNER, PRESIDENT)
(252) 578-8902
Entity
Organization
Contact information
Practice address
614 CHIEF MARTIN ST STE B, MADISON, NC 27025-1684
(252) 578-8902
Mailing address
1598 ROANOKE CHAPEL RD, LITTLETON, NC 27850-9262
(252) 586-5315
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/20/2009
Last updated
09/20/2009
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