Core Vine Family Srv LLC
NPI #1043926835 in Avondale, Arizona
Provider Information
- NPI Number
- 1043926835
- Entity Type
- Organization
- Organization Name
- Core Vine Family Srv LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 25, 2023
- Last Updated
- Jan 25, 2023
Practice Location
Authorized Official
- Name
- MRS. LAWANDA MARIE BROOKS
- Title
- OWNER
- Phone
- (314) 473-0148
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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