| NPI | 1215336706 |
|---|---|
| Former Legal Business Name | HEALTHY FOUNDATIONS GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | KURT NORMAN KOCHES Executive Director 301-970-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2023-06-21 |