OrganizationActive
Foundations Pediatrics Assessment and Treatment Center
NPI 1245086040 · Adolescent and Children Mental Health Clinic/Center · Saint Augustine, FL
Provider details
- NPI number
- 1245086040
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jill Driest, Owner
Practice location
245 Land Grant Street
Suite 3
Saint Augustine, FL 32092
Phone: (904) 370-3420
Mailing address
247 Orchard Ln
Saint Augustine, FL 32095-0031
Registry dates
- Enumerated
- 2024-04-24
- Last updated
- 2024-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.