| Fountain Behavioral Health Services Inc | |
|
4415a Nicole Dr Ste A Lanham MD 20706-4352 | |
| (301) 541-4734 | |
| (240) 229-6962 |
| Full Name | Fountain Behavioral Health Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4415a Nicole Dr Ste A, Lanham, Maryland |
| Authorized Official Name and Position | Nemata Kamara (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3015414734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Behavioral Health Services Inc 4415a Nicole Dr Ste A Lanham MD 20706-4352 Ph: (301) 541-4734 | Fountain Behavioral Health Services Inc 4415a Nicole Dr Ste A Lanham MD 20706-4352 Ph: (301) 541-4734 |
| NPI Number | 1942074141 |
|---|---|
| Provider Enumeration Date | 11/08/2023 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942074141 | NPI | - | NPPES |
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