Organization
ROOTED FOUNDATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEONA JOLLY (OWNER)
(937) 307-8120
Entity
Organization
Contact information
Practice address
5201 BROMWICK DR, DAYTON, OH 45426-1909
(937) 307-8120
Mailing address
5201 BROMWICK DR, TROTWOOD, OH 45426-1909
(937) 307-8120
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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