Provider Demographics
NPI:1184487076
Name:FOUNDATION HOPE FOR LIFE, INC
Entity type:Organization
Organization Name:FOUNDATION HOPE FOR LIFE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAINTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:252-312-8207
Mailing Address - Street 1:PO BOX 1207
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27588-1207
Mailing Address - Country:US
Mailing Address - Phone:252-312-8207
Mailing Address - Fax:
Practice Address - Street 1:1776 HERITAGE CENTER DR STE 201A
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-3977
Practice Address - Country:US
Practice Address - Phone:252-312-8207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No174200000XOther Service ProvidersMeals
No251B00000XAgenciesCase Management