| Foundations For Change, P.c. | |
|
706 Todds Ln Hampton VA 23666-1847 | |
| (757) 262-1550 | |
| (757) 262-1544 |
| Full Name | Foundations For Change, P.c. |
|---|---|
| Speciality | Case Management |
| Location | 706 Todds Ln, Hampton, Virginia |
| Authorized Official Name and Position | Robin Rukin (PRESIDENT) |
| Authorized Official Contact | 7572621550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations For Change, P.c. 706 Todds Ln Hampton VA 23666-1847 Ph: (757) 262-1550 | Foundations For Change, P.c. 706 Todds Ln Hampton VA 23666-1847 Ph: (757) 262-1550 |
| NPI Number | 1396945549 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 05/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396945549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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