Provider Demographics
NPI:1427730464
Name:THE FOX MOON FARM PROJECT, INC.
Entity type:Organization
Organization Name:THE FOX MOON FARM PROJECT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:FREISHTAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-653-8539
Mailing Address - Street 1:6450 OWENS MILL RD
Mailing Address - Street 2:
Mailing Address - City:SAINT STEPHENS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:23148-2319
Mailing Address - Country:US
Mailing Address - Phone:301-653-8539
Mailing Address - Fax:
Practice Address - Street 1:6450 OWENS MILL RD
Practice Address - Street 2:
Practice Address - City:SAINT STEPHENS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:23148-2319
Practice Address - Country:US
Practice Address - Phone:301-653-8539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable