Provider Demographics
NPI:1457132953
Name:LEADERS FAMILY SERVICES
Entity Type:Organization
Organization Name:LEADERS FAMILY SERVICES
Other - Org Name:LEADERS FAMILY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KENYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GLEATON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-308-3564
Mailing Address - Street 1:6013 THORBURN WAY
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-7542
Mailing Address - Country:US
Mailing Address - Phone:980-308-3564
Mailing Address - Fax:
Practice Address - Street 1:6418 KELSEY DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-2342
Practice Address - Country:US
Practice Address - Phone:980-308-3564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness