Organization
FOUNDATION STRONG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA DEBERRY BRADY (DIRECTOR)
(336) 508-2847
Entity
Organization
Contact information
Practice address
1677 BANBRIDGE RD, KERNERSVILLE, NC 27284-4363
(336) 307-3198
(336) 307-3906
Mailing address
PO BOX 77805, GREENSBORO, NC 27417-7805
(336) 307-3198
(336) 307-3906
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/31/2008
Last updated
06/05/2019
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