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FOUNTAIN OF LIFE BEHAVIORAL HEALTH COUNSELING & WELLNESS CTR.
NPI 1033761325
Substance Abuse Rehabilitation Facility in Baltimore, MD

Active since July 16, 2019
3704 FAIRVIEW AVE, BALTIMORE, MD 21216(443) 558-8933(443) 965-9523 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 31, 2019, Jul 16, 2019 (2 updates tracked since 2019).

About Fountain Of Life Behavioral Health Counseling & Wellness Ctr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUNTAIN OF LIFE BEHAVIORAL HEALTH COUNSELING & WELLNESS CTR. (NPI 1033761325) is a healthcare organization registered as a substance abuse rehabilitation facility in Baltimore, Maryland and active in the NPI registry since July 2019. The organization lists Patricia Ann Harriott, Ceo/director, as its authorized official.

NPPES Registry Identity

NPI1033761325
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameFOUNTAIN OF LIFE BEHAVIORAL HEALTH COUNSELING & WELLNESS CTR.
Location Address3704 FAIRVIEW AVEBaltimore, MD 21216-1313
Mailing Address3704 Fairview AveBaltimore, MD 21216-1313 · (443) 558-8933 · Fax (443) 965-9523
Phone(443) 558-8933
Fax(443) 965-9523
Organization SubpartNo
Authorized OfficialPatricia Ann HarriottCeo/director · (443) 558-8933
Enumeration DateJuly 16, 2019
Last NPPES UpdateJuly 31, 20192 updates tracked since enumeration
✔ NPI 1033761325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

3704 FAIRVIEW AVE, Baltimore, MD 21216
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Other Names 1

Former Legal Business NameFountain Of Life Behavioral Health Counseling & Wellness Ctr.

Other Identifiers 1

Medicaid07162019328804MD

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fountain Of Life Behavioral Health Counseling & Wellness Ctr.'s NPI number?

The NPI number for Fountain Of Life Behavioral Health Counseling & Wellness Ctr. is 1033761325. It was assigned to this organization in the NPPES registry on July 16, 2019.

Where is Fountain Of Life Behavioral Health Counseling & Wellness Ctr. located?

Fountain Of Life Behavioral Health Counseling & Wellness Ctr. is located at 3704 Fairview Ave, Baltimore, MD 21216. The listed phone number is (443) 558-8933.

What is Fountain Of Life Behavioral Health Counseling & Wellness Ctr.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Fountain Of Life Behavioral Health Counseling & Wellness Ctr. was last updated on July 31, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.