Organization · Type 2 NPI
Core Vine Family SRV LLC
Community/Behavioral Health Agency · Avondale, AZ
Practice location
701 E Western Ave
Avondale, AZ 85323-2425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | None listed |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
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About NPI 1043926835
Core Vine Family SRV LLC's National Provider Identifier is 1043926835, issued on Jan 25, 2023. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Avondale, AZ. The record was last updated on Jan 25, 2023.