Organization
FOUNDATION RESTORATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY MCILWAIN M.A., LMFTA (FOUNDER AND CEO)
(919) 569-5820
Entity
Organization
Contact information
Practice address
9370 FALLS OF NEUSE RD STE 203, RALEIGH, NC 27615-2487
(919) 569-5820
Mailing address
9650 STRICKLAND RD, SUITE 103-180, RALEIGH, NC 27615-1902
(949) 385-2711
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1831
NC
251S00000X
Community/Behavioral Health Agency
LMFTA - 9080A
NC
Other
Enumeration date
04/23/2015
Last updated
01/12/2018
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