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Organization

PEACE IN PEACE OUT PROGRAM

Active
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Organization

PEACE IN PEACE OUT PROGRAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ALY FABER E-RYT, CYT, IYAT (OWNER/MEMBER)
(704) 668-8600
Entity
Organization

Contact information

Practice address
17217 HEDGEROW PARK RD, CHARLOTTE, NC 28277-6662
(704) 668-8600
Mailing address
17217 HEDGEROW PARK RD, CHARLOTTE, NC 28277-6662
(704) 668-8600

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
221700000X
Art Therapist
225700000X
Massage Therapist
225800000X
Recreation Therapist

Other

Enumeration date
03/20/2013
Last updated
03/20/2013
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