Foundations Lc
NPI #1881883387 in West Valley, Utah
Provider Information
- NPI Number
- 1881883387
- Entity Type
- Organization
- Organization Name
- Foundations Lc
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Oct 20, 2007
- Last Updated
- Oct 20, 2007
Practice Location
- Address
- 4601 W 3245 S
- City
- West Valley
- State
- Utah
- ZIP Code
- 84120-1523
- Phone
- (801) 654-0772
Authorized Official
- Name
- MR. FISI MEIMUA MOLENI, LCSW
- Title
- PROGRAM DIRECTOR
- Phone
- (801) 654-0772
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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