Organization
FOUNTAIN OF HOPE
Active
Organization
FOUNTAIN OF HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRI MCNEAL LMFT/DR. (CLINICAL DIRECTOR)
(909) 919-8134
Entity
Organization
Contact information
Practice address
4444 W NORTHERN AVE, GLENDALE, AZ 85301-1683
(623) 594-7100
Mailing address
4444 W NORTHERN AVE, GLENDALE, AZ 85301-1683
(623) 594-7100
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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