Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI Number | 1942374954 |
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| LBN Legal business name | FOUNDATIONS BEHAVIORAL HEALTH | ||||
| Authorized official | ABIGAIL HALLORAN - (ASSISTANT DIRECTOR OUTPATIENT SERVI) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/20/2006 | ||||
| Last updated | 08/22/2020 - About 6 years ago | ||||
| Identifiers |
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