DESHRA VINES

Intellectual and/or Developmental Disabilities Residential Treatment Facility · FLINT, MI

Individual Active NPI 1255576765

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000XAS2504124845MI
Behavior Technician106S00000XBCBA1349277MI

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.