Organization
TRUE VINE HEALTH LLC
Active
Parent organization
TRUE VINE HEALTH LLC
Other names
True Vine Health LLC, True Vine Health LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRUE VINE HEALTH LLC
Authorized official
MR. MARCUS MOTTON (PROGRAM DIRECTOR)
(667) 600-9450
Entity
Organization
Contact information
Practice address
5629 HARFORD RD STE 102, BALTIMORE, MD 21214-2272
(667) 600-9450
Mailing address
5629 HARFORD RD STE 102, BALTIMORE, MD 21214-2272
(667) 600-9450
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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