| Grapevine Valley Hope | |
|
2300 William D Tate Ave Grapevine TX 76051-3919 | |
| (817) 424-9013 | |
| (817) 329-0974 |
| Full Name | Grapevine Valley Hope |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2300 William D Tate Ave, Grapevine, Texas |
| Authorized Official Name and Position | Michael David Webb (OUTPATIENT PROGRAM DIRECTOR) |
| Authorized Official Contact | 8174249013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grapevine Valley Hope 2300 William D Tate Ave Grapevine TX 76051-3919 Ph: (817) 424-9013 | Grapevine Valley Hope 2300 William D Tate Ave Grapevine TX 76051-3919 Ph: (817) 424-9013 |
| NPI Number | 1720268949 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 11/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720268949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 9838 (Texas) | Primary |
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