Organization
BETWEEN FACES FOUNDATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESHAWN PECKHAM (FOUNDER & CEO)
(704) 773-5475
Entity
Organization
Contact information
Practice address
13000 S TRYON ST STE F-179, CHARLOTTE, NC 28278-7652
(704) 773-5475
Mailing address
13000 S TRYON ST STE F-179, CHARLOTTE, NC 28278-7652
(704) 773-5475
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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