Provider Demographics
NPI:1508000654
Name:NEW FOUNDATIONS, LLC
Entity Type:Organization
Organization Name:NEW FOUNDATIONS, LLC
Other - Org Name:LINDEN LANE RTH
Other - Org Type:Other Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KAIOLANI
Authorized Official - Middle Name:BURK
Authorized Official - Last Name:CALIP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-838-2114
Mailing Address - Street 1:294 WHITMAN ST S
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH
Mailing Address - State:OR
Mailing Address - Zip Code:97361-2035
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:294 WHITMAN ST S
Practice Address - Street 2:
Practice Address - City:MONMOUTH
Practice Address - State:OR
Practice Address - Zip Code:97361-2035
Practice Address - Country:US
Practice Address - Phone:503-838-2114
Practice Address - Fax:503-838-2117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness