Organization · Type 2 NPI

Renewed Foundations LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Idaho Falls, ID

NPI number 1548089261 Active

Practice location

725 S Woodruff Ave Ste 401
Idaho Falls, ID 83401-5286

Mailing address

382 Fire Thorn
Idaho Falls, ID 83404-4954

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1548089261

Renewed Foundations LLC's National Provider Identifier is 1548089261, issued on Oct 9, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Idaho Falls, ID. The record was last updated on Nov 4, 2024.