NPI 1134388739

Foundations for Living

Organisation Mental Illness Community Based Residential Treatment Facility Mansfield, OH

Practice location

Address: 1451 Lucas Rd, Mansfield, OH 44903-8682
Phone: (419) 589-5511
Fax: (419) 589-4656

Authorised official

Name: Tom Brohm
Title: Ceo
Phone: (419) 589-5511

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence PN.065837 (OH)

Other Community Based Residential Treatment Facility, Mental Illness providers in Ohio →

Registry record

NPI: 1134388739
Entity type: Organization
NPI issued: 9 Jun 2008
Record last updated: 9 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.