NPI 1033761325

Fountain of Life Behavioral Health Counseling & Wellness Ctr.

Organisation Substance Abuse Rehabilitation Facility Baltimore, MD

Practice location

Address: 3704 Fairview Ave, Baltimore, MD 21216-1313
Phone: (443) 558-8933
Fax: (443) 965-9523

Authorised official

Name: Patricia Ann Harriott
Title: Ceo/Director
Phone: (443) 558-8933

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Maryland →

Registry record

NPI: 1033761325
Entity type: Organization
NPI issued: 16 Jul 2019
Record last updated: 31 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.