| Vine Care Center Inc | |
|
890 Oak Valley Pkwy C Beaumont CA 92223-8701 | |
| (951) 845-7774 | |
| (951) 845-0449 |
| Full Name | Vine Care Center Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 890 Oak Valley Pkwy, Beaumont, California |
| Authorized Official Name and Position | Nkechi Perpetua Anwuli (QUALITY CONTROL OFFICER) |
| Authorized Official Contact | 9516777900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vine Care Center Inc 890 Oak Valley Pkwy C Beaumont CA 92223-8701 Ph: (951) 845-7774 | Vine Care Center Inc 890 Oak Valley Pkwy C Beaumont CA 92223-8701 Ph: (951) 845-7774 |
| NPI Number | 1548465347 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 04/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548465347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 330079AN (California) | Primary |
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