Fountain Therapeutic and Supportive Services LLC
NPI #1285959312 in Jacksonville, North Carolina
Provider Information
- NPI Number
- 1285959312
- Entity Type
- Organization
- Organization Name
- Fountain Therapeutic and Supportive Services LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Mar 31, 2010
- Last Updated
- Feb 11, 2015
Practice Location
- Address
- 108 CARDIFF CT # CY
- City
- Jacksonville
- State
- North Carolina
- ZIP Code
- 28546-7864
- Phone
- (301) 437-9666
Authorized Official
- Name
- JANNY JINOR, LICSW
- Title
- MANAGER
- Phone
- (301) 437-9666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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