Provider Demographics
NPI:1891936134
Name:REBUILDING FOUNDATIONS INC.
Entity Type:Organization
Organization Name:REBUILDING FOUNDATIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHENISE
Authorized Official - Middle Name:TOCCARO
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-931-1325
Mailing Address - Street 1:3901 BARRETT DR
Mailing Address - Street 2:ST. 309
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6611
Mailing Address - Country:US
Mailing Address - Phone:919-931-1325
Mailing Address - Fax:919-266-1279
Practice Address - Street 1:3900 BARRETT DR
Practice Address - Street 2:ST. 309
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6641
Practice Address - Country:US
Practice Address - Phone:919-931-1325
Practice Address - Fax:919-266-1279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-17
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health