Provider Demographics
NPI:1437396835
Name:FOUNDATIONS 2 TRANSITIONS
Entity Type:Organization
Organization Name:FOUNDATIONS 2 TRANSITIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-327-7525
Mailing Address - Street 1:5122 AUTUMNCREST DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-5802
Mailing Address - Country:US
Mailing Address - Phone:336-327-7525
Mailing Address - Fax:
Practice Address - Street 1:5122 AUTUMNCREST DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-5802
Practice Address - Country:US
Practice Address - Phone:336-327-7525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-07
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health