| NPI | 1871529750 |
|---|---|
| Doing Business As | GRAPEVINE IOP VALLEY HOPE |
| Entity Type | Organization |
| Authorized Contact | KATHY ERBERT Director Of Contract Administration 785-877-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: TX 2103-A) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-11-19 |