| Foundations Board & Lodge Llc | |
|
1135 Highway 7 W Hutchinson MN 55350-1511 | |
| (320) 434-8007 | |
| (651) 925-0087 |
| Full Name | Foundations Board & Lodge Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1135 Highway 7 W, Hutchinson, Minnesota |
| Authorized Official Name and Position | Richard L Decker (CEO, PSYCHOLOGIST, CLINICAL) |
| Authorized Official Contact | 3204341312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Board & Lodge Llc Po Box 683 Hutchinson MN 55350-0683 Ph: (320) 434-8007 | Foundations Board & Lodge Llc 1135 Highway 7 W Hutchinson MN 55350-1511 Ph: (320) 434-8007 |
| NPI Number | 1023899671 |
|---|---|
| Provider Enumeration Date | 10/10/2023 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023899671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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