Organization Name: | VALLEY HEALTH TEAM, INC. |
NPI Number: | 1215093745 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SOYLA R. GRIFFIN (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 21890 Colorado San Joaquin |
State: | CA US |
Postal Code: | 936600000 |
Phone Number: | 5596932462 |
Fax Number: | 5596934382 |
NPI Enumeration Date: | 12/29/2006 |
NPI Last Update Date: | 03/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 100077AN |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |