Fountain of Youth, Inc
Fountain of Youth, Inc is a Voluntary or Charitable Agency in Fort Smith, Arkansas. Licensed in Arkansas. Registered with an NPI since 2008.
- Licensed in
- AR
- In the registry since
- 2008
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2409 S 56th St Ste 121Fort Smith, AR 72903-3753
Phone: (479) 484-7782
Fax: (479) 484-7951
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Voluntary or Charitable Agency (primary) | Taxonomy 251V00000X · Licence 105 (AR) |
|---|
Record details
| NPI number | 1225202179 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michelle Foutch — Site Director · (479) 484-7782 |
| NPI enumerated | April 22, 2008 |
| Last updated in NPPES | September 5, 2012 |
| Mailing address | 2409 S 56th St, Suite 121, Fort Smith, AR 72903-3753 |
Other providers in Fort Smith
-
The Gregory Kistler Treatment Center, Inc
3304 S M St, Fort Smith, AR 72903-2903 · (479) 785-4677
-
The Gregory Kistler Treatment Center, Inc
3304 S M St, Fort Smith, AR 72903-2903 · (479) 785-4677