Organization
FOUNTAIN OF LIFE HOUSING
Active
Other names
Fountain of Life Ministries International
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL DEAN BROWN (DIRECTOR)
(713) 320-2772
Entity
Organization
Contact information
Practice address
11802 GREENSPARK LN, HOUSTON, TX 77044-7102
(713) 320-2772
Mailing address
PO BOX 15312, HUMBLE, TX 77347-5312
(713) 320-2772
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
10/12/2010
Last updated
10/12/2010
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