| Vine Behavioral Health Llc | |
|
2716 Revere Ave Dayton OH 45420-1722 | |
| (937) 751-6763 | |
| Not Available |
| Full Name | Vine Behavioral Health Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2716 Revere Ave, Dayton, Ohio |
| Authorized Official Name and Position | Erika Russ (CO-FOUNDER) |
| Authorized Official Contact | 9377516763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vine Behavioral Health Llc 2716 Revere Ave Dayton OH 45420-1722 Ph: (937) 751-6763 | Vine Behavioral Health Llc 2716 Revere Ave Dayton OH 45420-1722 Ph: (937) 751-6763 |
| NPI Number | 1215618202 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215618202 | NPI | - | NPPES |
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