Organization
FOUNDATION FOR FAMILIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN MELISSA DOUGLAS LCSW (CEO)
(910) 521-0077
Entity
Organization
Contact information
Practice address
30 THREE HUNTS DR, SUITE B, PEMBROKE, NC 28372-7316
(910) 521-0077
(910) 521-4877
Mailing address
PO BOX 4108, PEMBROKE, NC 28372-4108
(910) 521-0077
(910) 521-4877
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
COO6439
NC
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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