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

Address
701 E WESTERN AVE
State
Arizona
ZIP Code
85323-2425
Phone
(602) 487-8331

Authorized Official

Name
MRS. LAWANDA MARIE BROOKS
Title
OWNER
Phone
(314) 473-0148

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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