OrganizationActive
Foundations Lc
NPI 1881883387 · Mental Illness Community Based Residential Treatment Facility · West Valley, UT
Provider details
- NPI number
- 1881883387
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Fisi Moleni, Program Director(801) 654-0772
- License
- 5843697 (UT)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4601 W 3245 S
West Valley, UT 84120-1523
Phone: (801) 654-0772
Approximate (ZIP-level) locationGet directions
Mailing address
4601 W 3245 S
West Valley, UT 84120-1523
Registry dates
- Enumerated
- 2007-10-20
- Last updated
- 2007-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.