Foundation Strong, Llc-Phase II
NPI #1407224058 in North Wilkesboro, North Carolina
Provider Information
- NPI Number
- 1407224058
- Entity Type
- Organization
- Organization Name
- Foundation Strong, Llc-Phase II
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FOUNDATION STRONG, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Sep 11, 2015
- Last Updated
- Sep 11, 2015
Practice Location
- Address
- 305 D ST
- City
- North Wilkesboro
- State
- North Carolina
- ZIP Code
- 28659-4345
- Phone
- (336) 990-0688
Authorized Official
- Name
- THERESA DEBERRY BRADY
- Title
- DIRECTOR
- Phone
- (336) 508-2847
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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