Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Community/Behavioral Health |
251S00000X |
| NPI Number | 1295525392 |
| LBN Legal business name | FOUNDATIONS, INC. |
| Authorized official | ANGELA WAGHORNE-SCHULZ - (CFO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/12/2025 |
| Last updated | 05/12/2025 - More than a year ago |
| Identifiers | n/a |
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