# NEW FOUNDATIONS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205659828
- **Authorized official:** ANISA HIRSI (DIRECTOR)
- **Authorized official phone:** (651) 424-8416

## Contact information

- **Practice address:** 18292 GLACIER WAY, LAKEVILLE, MN 55044-2281
- **Practice address phone:** (651) 424-8416
- **Mailing address:** 18292 GLACIER WAY, LAKEVILLE, MN 55044-2281
- **Mailing address phone:** (651) 424-8416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/02/2024
- **Last updated:** 11/02/2024