| NPI | 1467200311 |
|---|---|
| Other Name | FOUNDATIONS, INC. - DOUGLAS |
| Entity Type | Organization |
| Authorized Contact | ANGELA J WAGHORNE-SCHULZ CFO 801-473-3963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-08-20 |