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Organization
FOUNDATION LIVING
Active
Organization
FOUNDATION LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON DOUGLAS (CEO)
(609) 326-3484
Entity
Organization
Contact information
Practice address
1804 LIBERTY PL, SICKLERVILLE, NJ 08081-5706
(804) 980-5916
Mailing address
1804 LIBERTY PL, SICKLERVILLE, NJ 08081-5706
(609) 326-3484
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
NULL
171W00000X
Contractor
—
—
251B00000X
Case Management Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
251V00000X
Voluntary or Charitable Agency
—
NULL
Other
Enumeration date
08/25/2025
Last updated
09/09/2025
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