FOUNTAIN OF LIFE HOUSING NPI 1780994780

NPI Information

FOUNTAIN OF LIFE HOUSING is a community based residential treatment facility mental illness in Houston, TX. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. FOUNTAIN OF LIFE HOUSING NPI is 1780994780. The provider is registered as an organization entity type.
The provider Is Doing Business As Fountain Of Life Ministries International.

The provider's business location address is:

11802 GREENSPARK LN
HOUSTON, TX
ZIP 77044-102
Phone: (713) 320-2772

The provider's authorized official is Carl Dean Brown .
The authorized official title is Director and has the following contact phone number (713) 320-2772.

The enumeration date for this NPI number is 10/12/2010 and was last updated on 10/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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