| Firm Foundation Inc. | |
|
705 Cumberland St. Fayetteville NC 28301-7020 | |
| (910) 485-3332 | |
| (910) 485-1453 |
| Full Name | Firm Foundation Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 705 Cumberland St., Fayetteville, North Carolina |
| Authorized Official Name and Position | Charles Donald Davenport (CEO) |
| Authorized Official Contact | 9102631687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Firm Foundation Inc. 705 Cumberland St. Fayetteville NC 28301-7020 Ph: (910) 485-3332 | Firm Foundation Inc. 705 Cumberland St. Fayetteville NC 28301-7020 Ph: (910) 485-3332 |
| NPI Number | 1114167806 |
|---|---|
| Provider Enumeration Date | 02/20/2009 |
| Last Update Date | 09/16/2021 |
| Certification Date | 09/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114167806 | NPI | - | NPPES |
| 6006651 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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