Organization · Type 2 NPI
Grapevine Recovery Associates LLC
Substance Use Disorder Rehabilitation Clinic/Center · Pasadena, MD
NPI number
1700313830
Active
Practice location
7580 Beach Dr
Pasadena, MD 21122-2508
Mailing address
2342 Monarch Terrace Dr
Katy, TX 77494-2626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1700313830
Grapevine Recovery Associates LLC's National Provider Identifier is 1700313830, issued on May 19, 2017. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Pasadena, MD. The record was last updated on May 19, 2017.