Organization
FOUNDATIONS FOR CHANGE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE A JOHNSON MBA (DD SPECIALIST)
(757) 262-1550
Entity
Organization
Contact information
Practice address
2013 CUNNINGHAM DR STE 329, HAMPTON, VA 23666-3306
(757) 262-1550
(757) 262-1540
Mailing address
2013 CUNNINGHAM DR STE 329, HAMPTON, VA 23666-3306
(757) 262-1550
(757) 262-1540
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/08/2006
Last updated
08/22/2020
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