Provider Demographics
NPI:1073773636
Name:Q FOUNDATION
Entity Type:Organization
Organization Name:Q FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEQHA'N
Authorized Official - Middle Name:T
Authorized Official - Last Name:ASKEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-930-6000
Mailing Address - Street 1:PO BOX 10143
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-5666
Mailing Address - Country:US
Mailing Address - Phone:704-939-6000
Mailing Address - Fax:704-566-4970
Practice Address - Street 1:5633 MONROE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-5505
Practice Address - Country:US
Practice Address - Phone:704-930-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health