Organization
FIRST CHOICE FOUNTAIN CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLINS NDIPMON (PRESIDENT)
(240) 906-2963
Entity
Organization
Contact information
Practice address
8919 91ST PL, LANHAM, MD 20706-1911
(240) 906-2963
Mailing address
8919 91ST PL, LANHAM, MD 20706-1911
(240) 906-2963
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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