Organization
FOSTER'S CARE FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FOSTER LEE WILKINS QP, MS. EDU (EXECUTIVE DIRECTOR)
(336) 885-0602
Entity
Organization
Contact information
Practice address
1320 HAMILTON PL STE 107, HIGH POINT, NC 27262-4868
(336) 885-0602
(336) 885-0603
Mailing address
593 HUGH PATRICK COURT, GREENSBORO, NC 27455
(336) 601-1692
(336) 885-0603
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MHL041-979
NC
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301410
—
NC
Enumeration date
02/20/2007
Last updated
11/06/2018
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