# FOUNDATION LIVING

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1922986082
- **Authorized official:** BRANDON DOUGLAS (CEO)
- **Authorized official phone:** (609) 326-3484

## Contact information

- **Practice address:** 1804 LIBERTY PL, SICKLERVILLE, NJ 08081-5706
- **Practice address phone:** (804) 980-5916
- **Mailing address:** 1804 LIBERTY PL, SICKLERVILLE, NJ 08081-5706
- **Mailing address phone:** (609) 326-3484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | — | NULL | — |
| 171W00000X | Contractor | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |

## Other

- **Enumeration date:** 08/25/2025
- **Last updated:** 09/09/2025