White Grape Community Services LLC
NPI #1699550434 in Astoria, Oregon
Provider Information
- NPI Number
- 1699550434
- Entity Type
- Organization
- Organization Name
- White Grape Community Services LLC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Aug 29, 2023
- Last Updated
- Oct 31, 2024
Practice Location
Authorized Official
- Name
- QUANISHA THOMAS
- Title
- OWNER
- Phone
- (310) 734-9895
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Medical Specialty — Medical Specialty |
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