Organization
FOUNTAIN BEHAVIORAL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEMATA KAMARA (EXECUTIVE DIRECTOR)
(301) 541-4734
Entity
Organization
Contact information
Practice address
4415A NICOLE DR STE A, LANHAM, MD 20706-4352
(301) 541-4734
(240) 229-6962
Mailing address
4415A NICOLE DR STE A, LANHAM, MD 20706-4352
(301) 541-4734
(240) 229-6962
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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