The Grapevine Family & Community Resource Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

30852845 Issued in NH

Legal business name

THE GRAPEVINE FAMILY & COMMUNITY RESOURCE CENTER

Practice address

4 Aiken Street
Antrim, NH 03440

Phone

(603) 588-2620

Fax

(603) 588-7154

NPI assigned

Apr 16, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristen K Vance, JD

Title

Executive Director

Phone

(603) 588-2620

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1619141165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637",
            "city": "ANTRIM",
            "state": "NH",
            "postal_code": "034400637",
            "telephone_number": "603-588-2620",
            "fax_number": "603-588-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 AIKEN STREET",
            "city": "ANTRIM",
            "state": "NH",
            "postal_code": "03440",
            "telephone_number": "603-588-2620",
            "fax_number": "603-588-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GRAPEVINE FAMILY & COMMUNITY RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-588-2620",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NH",
            "license": "30852845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meliea Brown Miller, NP
• Monadnock Community Hospital
• Nathan Thomas O'Neill, DMD
• Kerry Cottle Roy, OTR/L
• Sobriety Centers of New Hampshire
• Town of Antrim
• Robert Alan Weigand, DDS

• Community/Behavioral Health Agency in Antrim, NH
• Providers in Antrim, NH by specialty
• Community/Behavioral Health Agency in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.