MR. Joseph J Fountain

NPI #1033696869 in Monroeville, Alabama

Provider Information

NPI Number: 1033696869
Entity Type: Individual
Name: MR. Joseph J Fountain
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jul 24, 2018
Last Updated: Jul 24, 2018

Practice Location

Address: 127 DAISY ST
City: Monroeville
State: Alabama
ZIP Code: 36460-2609
Phone: (678) 532-1589

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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