| NPI | 1780994780 |
|---|---|
| Doing Business As | FOUNTAIN OF LIFE MINISTRIES INTERNATIONAL |
| Entity Type | Organization |
| Authorized Contact | CARL DEAN BROWN Director 713-320-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-10-12 |
| Last Update Date | 2010-10-12 |