| Foundations 4 Life, Llc | |
|
2956 North Ave Ste 6 Grand Junction CO 81504-3919 | |
| (970) 589-1649 | |
| (970) 986-8036 |
| Full Name | Foundations 4 Life, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2956 North Ave Ste 6, Grand Junction, Colorado |
| Authorized Official Name and Position | Aaron Joseph Jimenez (OWNER/THERAPIST) |
| Authorized Official Contact | 9705891649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations 4 Life, Llc 478 E Scenic Dr Grand Junction CO 81507-1588 Ph: (970) 589-1649 | Foundations 4 Life, Llc 2956 North Ave Ste 6 Grand Junction CO 81504-3919 Ph: (970) 589-1649 |
| NPI Number | 1982218343 |
|---|---|
| Provider Enumeration Date | 09/03/2020 |
| Last Update Date | 10/23/2020 |
| Certification Date | 10/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982218343 | NPI | - | NPPES |
| 1457795833 | Other | CO | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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