| NPI | 1710804653 |
|---|---|
| Doing Business As | FOUNTAINHEAD |
| Entity Type | Organization |
| Authorized Contact | CHARLES JOSEPH VAN DE VOORDE Vice President 661-384-4034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 251B00000X Case Management | |
| Enumeration Date | 2026-07-01 |
| Last Update Date | 2026-07-01 |