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Organization

GRAPEVINE VALLEY HOPE

Active
Parent organization
VALLEY HOPE ASSOCIATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
VALLEY HOPE ASSOCIATION
Authorized official
MICHAEL DAVID WEBB MA, LCDC (OUTPATIENT PROGRAM DIRECTOR)
(817) 424-9013
Entity
Organization

Contact information

Practice address
2300 WILLIAM D TATE AVE, GRAPEVINE, TX 76051-3919
(817) 424-9013
(817) 329-0974
Mailing address
2300 WILLIAM D TATE AVE, GRAPEVINE, TX 76051-3919
(817) 424-9013
(817) 329-0974

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9838
TX

Other

Enumeration date
11/05/2007
Last updated
11/05/2007
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