| NPI | 1558669671 |
|---|---|
| Other Name | FOUNTAIN OF LIFE MINISTRIES, INTERNATIONAL |
| Entity Type | Organization |
| Authorized Contact | CARL DEAN BROWN Director 713-320-2772 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |