Provider Demographics
NPI:1932302569
Name:CONFIDENCE BUILDERS, INC.
Entity Type:Organization
Organization Name:CONFIDENCE BUILDERS, INC.
Other - Org Name:CONFIDENCE BUILDERS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:CASSANDRA
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-538-1049
Mailing Address - Street 1:1135 A AHOSKIE COFIELD RD.
Mailing Address - Street 2:
Mailing Address - City:COFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27922-8095
Mailing Address - Country:US
Mailing Address - Phone:252-538-1049
Mailing Address - Fax:252-538-1049
Practice Address - Street 1:1135 AHOSKIE COFIELD RD
Practice Address - Street 2:
Practice Address - City:COFIELD
Practice Address - State:NC
Practice Address - Zip Code:27922-8095
Practice Address - Country:US
Practice Address - Phone:252-332-4333
Practice Address - Fax:252-332-4333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-10
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL-046-030320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities