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Organization
VITAL SPRINGS HEALTH SYSTEMS LLC
Active
Organization
VITAL SPRINGS HEALTH SYSTEMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACEO SMEDLEY (PRESIDENT)
(979) 201-1381
Entity
Organization
Contact information
Practice address
12125 HWY 6, UNITS E, FRESNO, TX 77545
(979) 201-1381
Mailing address
1218 MAGNOLIA DALE DR, FRESNO, TX 77545-9680
(979) 201-1381
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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