RENEWED FOUNDATIONS LLC

IDAHO FALLS, ID
NPI1548089261
Entity TypeOrganization
Authorized ContactSHAWN LAPRAY
CEO
208-360-1886
Organization Subpart ?No
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2024-10-09
Last Update Date2024-11-04
Business Address
RENEWED FOUNDATIONS LLC
725 S WOODRUFF AVE STE 401
IDAHO FALLS, ID 83401-5286
Phone number: 208-360-1886
Mailing Address
RENEWED FOUNDATIONS LLC
382 FIRE THORN
IDAHO FALLS, ID 83404-4954
Phone number: 208-360-1886