DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FOUNTAIN THERAPEUTIC AND SUPPORTIVE SERVICES LLC

Active Organization

FOUNTAIN THERAPEUTIC AND SUPPORTIVE SERVICES LLC is a Clinical Social Worker organization located in JACKSONVILLE, North Carolina. NPI 1285959312 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · JACKSONVILLE, NC

Registration Details

NPI Number
1285959312
Provider Type
Organization
NPI Issued
Mar 31, 2010 (16.395183217419 yrs)
Last Updated
Feb 11, 2015
License
LC50078852 (DC)

Practice Information

Address
108 CARDIFF CT # CY
JACKSONVILLE, NC, 285467864
Browse NC providers · Browse ZIP 28546
Phone
3014379666
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.