| NPI | 1104653575 |
|---|---|
| Doing Business As | FOUNDATIONS TO HEALING |
| Entity Type | Organization |
| Authorized Contact | KATHERINE RUSSELL President 386-748-6097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |