Provider Demographics
NPI:1285444836
Name:ABUNDANCE FOUNDATION INC.
Entity type:Organization
Organization Name:ABUNDANCE FOUNDATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUER
Authorized Official - Suffix:
Authorized Official - Credentials:CAS
Authorized Official - Phone:720-255-5458
Mailing Address - Street 1:3331 SUN DISK CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-5941
Mailing Address - Country:US
Mailing Address - Phone:720-255-5458
Mailing Address - Fax:
Practice Address - Street 1:3331 SUN DISK CT
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-5941
Practice Address - Country:US
Practice Address - Phone:720-255-5458
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health