Organization
FOUNDATION STRONG, LLC-PHASE II
Active
Parent organization
FOUNDATION STRONG, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUNDATION STRONG, LLC
Authorized official
THERESA DEBERRY BRADY (DIRECTOR)
(336) 508-2847
Entity
Organization
Contact information
Practice address
305 D ST, NORTH WILKESBORO, NC 28659-4345
(336) 990-0688
Mailing address
305 D ST, NORTH WILKESBORO, NC 28659-4345
(336) 990-0688
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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