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Organization
FOUNTAIN HEALTH SERVICES INC.
Active
Organization
FOUNTAIN HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLANIKE K OSUNNUYI (MANAGER)
(443) 525-2019
Entity
Organization
Contact information
Practice address
330 W 24TH ST STE D, BALTIMORE, MD 21211-3216
(443) 525-2019
(410) 630-3600
Mailing address
1305 SUDVALE RD, PIKESVILLE, MD 21208-4114
(443) 525-2019
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
273R00000X
Psychiatric Hospital Unit
—
—
Other
Enumeration date
09/14/2022
Last updated
12/28/2022
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