Organization
FOUNDATION X LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNY ALEXANDER HOUSTON (CEO)
(318) 489-0781
Entity
Organization
Contact information
Practice address
3084 WESTFORK DR STE C, BATON ROUGE, LA 70816-2254
(318) 489-0781
Mailing address
3084 WESTFORK DR STE C, BATON ROUGE, LA 70816-2254
(318) 489-0781
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
04/30/2024
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