Organization
THE GRAPEVINE FAMILY & COMMUNITY RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN K VANCE JD (EXECUTIVE DIRECTOR)
(603) 588-2620
Entity
Organization
Contact information
Practice address
4 AIKEN STREET, ANTRIM, NH 03440
(603) 588-2620
(603) 588-7154
Mailing address
PO BOX 637, ANTRIM, NH 03440-0637
(603) 588-2620
(603) 588-7154
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
30852845
NH
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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