Healthcare Provider Details

I. General information

NPI: 1881741593
Provider Name (Legal Business Name): FOUNDATION 2, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 2ND AVE SE
CEDAR RAPIDS IA
52401-1207
US

IV. Provider business mailing address

305 2ND AVE SE
CEDAR RAPIDS IA
52401-1207
US

V. Phone/Fax

Practice location:
  • Phone: 319-362-1170
  • Fax: 319-297-7406
Mailing address:
  • Phone: 319-362-1170
  • Fax: 319-297-7406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number1103135
License Number StateIA

VIII. Authorized Official

Name: EMILY BLOMME
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 319-362-1170