| Llc Behavior Services | |
|
1960 Millbrook St Se Grand Rapids MI 49508-2636 | |
| (616) 633-3700 | |
| (616) 930-4640 |
| Full Name | Llc Behavior Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1960 Millbrook St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Larry Mitchell (EXECUTIVE DIRECTOR PROGRAM MANAGER) |
| Authorized Official Contact | 6166333700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Llc Behavior Services 1960 Millbrook St Se Grand Rapids MI 49508-2636 Ph: (616) 633-3700 | Llc Behavior Services 1960 Millbrook St Se Grand Rapids MI 49508-2636 Ph: (616) 633-3700 |
| NPI Number | 1972002111 |
|---|---|
| Provider Enumeration Date | 02/02/2018 |
| Last Update Date | 02/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972002111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C-00112 (Michigan) | Primary |
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