Organization
FIRM FOUNDATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES DONALD DAVENPORT JR. (CEO)
(910) 263-1687
Entity
Organization
Contact information
Practice address
705 CUMBERLAND ST., FAYETTEVILLE, NC 28301-7020
(910) 485-3332
(910) 485-1453
Mailing address
705 CUMBERLAND ST., FAYETTEVILLE, NC 28301-7020
(910) 485-3332
(910) 485-1453
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006651
—
NC
Enumeration date
02/20/2009
Last updated
09/16/2021
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