Organization
FOUNTAIN RECOVERY
Active
Parent organization
BROTHER AND SISTER PARTNERSHIP
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROTHER AND SISTER PARTNERSHIP
Authorized official
NATASHA ARCHULETA (OWNER)
(925) 292-5583
Entity
Organization
Contact information
Practice address
4049 1ST ST STE 123, LIVERMORE, CA 94551-4949
(925) 292-5583
Mailing address
4049 1ST ST STE 123, LIVERMORE, CA 94551-4949
(925) 292-5583
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
010095AP
CA
Other
Enumeration date
07/08/2009
Last updated
02/22/2018
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