Provider Demographics
NPI:1508409004
Name:FOUNDATIONS IN RECOVERY, INC.
Entity Type:Organization
Organization Name:FOUNDATIONS IN RECOVERY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:619-569-0047
Mailing Address - Street 1:558 SKYVIEW ST
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-7357
Mailing Address - Country:US
Mailing Address - Phone:619-569-0047
Mailing Address - Fax:619-334-6251
Practice Address - Street 1:1679 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-1903
Practice Address - Country:US
Practice Address - Phone:619-569-0047
Practice Address - Fax:619-334-6251
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FOUNDATIONS IN RECOVERY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility