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Fountain Of Life Behavioral Health Counseling & Wellness Ctr.
Substance Abuse Rehabilitation Facility in Baltimore, Maryland
NPI 1033761325

Fountain Of Life Behavioral Health Counseling & Wellness Ctr. is a Substance Abuse Rehabilitation Facility based in Baltimore, MD. Fountain Of Life Behavioral Health Counseling & Wellness Ctr. practices in Baltimore, MD. The NPI Number for Fountain Of Life Behavioral Health Counseling & Wellness Ctr. is 1033761325 and holds a License No. (Maryland).

The current practice location address for Fountain Of Life Behavioral Health Counseling & Wellness Ctr. is 3704 Fairview Ave, Baltimore, MD and can be reached out via phone at 443-558-8933 and via fax at 443-965-9523.

Location: 3704 Fairview Ave, Baltimore, MD, 21216-1313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033761325
Provider Name
Fountain Of Life Behavioral Health Counseling & Wellness Ctr.
Credential
Provider Entity Type
Organization
Address
3704 Fairview Ave, Baltimore, MD, 21216-1313
Phone Number
443-558-8933
Fax Number
443-965-9523
Provider Enumeration Date
07/16/2019
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
07162019328804 05 MD
institution
Provider Business Practice Location Address Details
Address
3704 Fairview Ave
City
Baltimore
State
Maryland
Zip
21216-1313
Phone Number
443-558-8933
Fax Number
443-965-9523
person
Provider Business Mailing Address Details
Address
3704 Fairview Ave
City
Baltimore
State
Maryland
Zip
21216-1313
Phone Number
443-558-8933
Fax Number
443-965-9523
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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