Vital Springs Health Systems LLC

NPI #1174395677 in Fresno, Texas

Provider Information

NPI Number: 1174395677
Entity Type: Organization
Organization Name: Vital Springs Health Systems LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 27, 2023
Last Updated: Oct 27, 2023

Practice Location

Address: 12125 HWY 6
Address 2: UNITS E
City: Fresno
State: Texas
ZIP Code: 77545
Phone: (979) 201-1381

Authorized Official

Name: MACEO SMEDLEY
Title: PRESIDENT
Phone: (979) 201-1381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Private Vehicle	347C00000X
Counselor - Pastoral — Pastoral	101YP1600X
Case Management	251B00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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