Organization
FIRM FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN JOHNSON STILES (ADMINISTRATOR)
(910) 485-3332
Entity
Organization
Contact information
Practice address
1311 FORT BRAGG RD, FAYETTEVILLE, NC 28305-4705
(910) 485-3332
(910) 485-1453
Mailing address
PO BOX 25521, FAYETTEVILLE, NC 28314-5008
(910) 485-3332
(910) 485-1453
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603629
—
NC
Enumeration date
11/14/2006
Last updated
08/22/2020
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