| First Choice Fountain Care | |
|
8919 91st Pl Lanham MD 20706-1911 | |
| (240) 906-2963 | |
| Not Available |
| Full Name | First Choice Fountain Care |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8919 91st Pl, Lanham, Maryland |
| Authorized Official Name and Position | Collins Ndipmon (PRESIDENT) |
| Authorized Official Contact | 2409062963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Choice Fountain Care 8919 91st Pl Lanham MD 20706-1911 Ph: (240) 906-2963 | First Choice Fountain Care 8919 91st Pl Lanham MD 20706-1911 Ph: (240) 906-2963 |
| NPI Number | 1487266649 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 08/19/2020 |
| Certification Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487266649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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