| Foundation Restoration Inc. | |
|
9370 Falls Of Neuse Rd Ste 203 Raleigh NC 27615-2487 | |
| (919) 569-5820 | |
| Not Available |
| Full Name | Foundation Restoration Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 9370 Falls Of Neuse Rd Ste 203, Raleigh, North Carolina |
| Authorized Official Name and Position | Ashley Mcilwain (FOUNDER AND CEO) |
| Authorized Official Contact | 9195695820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation Restoration Inc. 9650 Strickland Rd Suite 103-180 Raleigh NC 27615-1902 Ph: (949) 385-2711 | Foundation Restoration Inc. 9370 Falls Of Neuse Rd Ste 203 Raleigh NC 27615-2487 Ph: (919) 569-5820 |
| NPI Number | 1609263953 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 01/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609263953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1831 (North Carolina) | Primary |
| 251S00000X | Community/behavioral Health | LMFTA - 9080A (North Carolina) | Secondary |
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