Organization · Type 2 NPI

Fountain of Life Community Development Center

Community/Behavioral Health Agency · Pembroke Pines, FL

NPI number 1104194356 Active

Practice location

6741 Pembroke Rd
Pembroke Pines, FL 33023-2143

Call (954) 391-6080 Map

Fax (954) 391-6081

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1104194356

Fountain of Life Community Development Center's National Provider Identifier is 1104194356, issued on Dec 2, 2011. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Pembroke Pines, FL. The record was last updated on Dec 2, 2011.