| Foundations Supportive Services Llc | |
|
11834 Canon Blvd Ste J3-4 Newport News VA 23606-2581 | |
| (757) 329-3662 | |
| Not Available |
| Full Name | Foundations Supportive Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11834 Canon Blvd Ste J3-4, Newport News, Virginia |
| Authorized Official Name and Position | Amber Dorsey (CEO) |
| Authorized Official Contact | 7573293662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Supportive Services Llc 11834 Canon Blvd Ste J3-4 Newport News VA 23606-2581 Ph: (757) 329-3662 | Foundations Supportive Services Llc 11834 Canon Blvd Ste J3-4 Newport News VA 23606-2581 Ph: (757) 329-3662 |
| NPI Number | 1235804006 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 08/12/2021 |
| Certification Date | 08/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235804006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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