Organization
FOUNTAINS OF HOPE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH KIMANI (OWNER)
(732) 322-1807
Entity
Organization
Contact information
Practice address
1017 S GILBERT RD STE 213, MESA, AZ 85204-4444
(732) 322-1807
Mailing address
1347 E BRIARWOOD TER, PHOENIX, AZ 85048-8691
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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