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Organization
VINE FAMILY SERVICES & CONSULTING PLLC
Active
Organization
VINE FAMILY SERVICES & CONSULTING PLLC
Active
Other names
The Vine Family Services & Consulting PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DAVIS (CREDENTIALING SPECIALISTS)
(912) 373-4385
Entity
Organization
Contact information
Practice address
167 FAIRFIELD DR, TROUTMAN, NC 28166-0049
(704) 439-6314
Mailing address
167 FAIRFIELD DR, TROUTMAN, NC 28166-0049
(704) 439-6314
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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