| NPI | 1376354217 |
|---|---|
| Doing Business As | THE FOUNTAIN |
| Entity Type | Organization |
| Authorized Contact | DARLENE R TOWNES President/CEO 858-500-2434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-01-20 |