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Organization
VINE CARE CENTER INC
Active
Organization
VINE CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NKECHI PERPETUA ANWULI (QUALITY CONTROL OFFICER)
(951) 677-7900
Entity
Organization
Contact information
Practice address
890 OAK VALLEY PKWY, C, BEAUMONT, CA 92223-8701
(951) 845-7774
(951) 845-0449
Mailing address
890 OAK VALLEY PKWY, C, BEAUMONT, CA 92223-8701
(951) 845-7774
(951) 845-0449
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
330079AN
CA
Other
Enumeration date
06/20/2007
Last updated
04/07/2009
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