Organization
FOUNTAINS RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VAN JONES MS, EDD., CMHP (DIR. OF OPERATIONS)
(561) 955-8575
Entity
Organization
Contact information
Practice address
798 S FEDERAL HWY STE 200, BOCA RATON, FL 33432-6162
(561) 955-8575
(561) 955-8715
Mailing address
798 S FEDERAL HWY STE 200, BOCA RATON, FL 33432-6162
(561) 955-8575
(561) 955-8715
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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