Provider Demographics
NPI:1114343159
Name:FOUNDATION STONES, INC.
Entity Type:Organization
Organization Name:FOUNDATION STONES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:MATTOCKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-238-5602
Mailing Address - Street 1:1001 COURT ST
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24504-4501
Mailing Address - Country:US
Mailing Address - Phone:434-238-5602
Mailing Address - Fax:434-847-4244
Practice Address - Street 1:1001 COURT ST
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24504-4501
Practice Address - Country:US
Practice Address - Phone:434-238-5602
Practice Address - Fax:434-847-4244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-14
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA199403001251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health