JOSEPH J FOUNTAIN

MONROEVILLE, AL
NPI1033696869
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Additional Taxonomies251S00000X 
Enumeration Date2018-07-24
Last Update Date2018-07-24
Business Address
Mr. JOSEPH J FOUNTAIN
127 DAISY ST
MONROEVILLE, AL 36460-2609
Phone number: 678-532-1589
Mailing Address
Mr. JOSEPH J FOUNTAIN
127 DAISY ST
MONROEVILLE, AL 36460-2609
Phone number: 678-532-1589