Organization
GRAPEVINE RECOVERY ASSOCIATES LLC
Active
Other names
Grapevine Recovery Associates LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH B SATROM (CEO)
(301) 708-9671
Entity
Organization
Contact information
Practice address
7580 BEACH DR, PASADENA, MD 21122-2508
(301) 708-9671
Mailing address
2342 MONARCH TERRACE DR, KATY, TX 77494-2626
(301) 708-9671
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2017
Last updated
05/19/2017
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