Positive Behavior Supports Corporation | |
400 Renaissance Ctr Ste 2600 Detroit MI 48243-1502 | |
(855) 832-6727 | |
(772) 675-9100 |
Full Name | Positive Behavior Supports Corporation |
---|---|
Speciality | Community/behavioral Health |
Location | 400 Renaissance Ctr Ste 2600, Detroit, Michigan |
Authorized Official Name and Position | Michael Nolan (CEO) |
Authorized Official Contact | 8558326727 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Positive Behavior Supports Corporation 7108 S Kanner Hwy Stuart FL 34997-7462 Ph: (855) 832-6727 | Positive Behavior Supports Corporation 400 Renaissance Ctr Ste 2600 Detroit MI 48243-1502 Ph: (855) 832-6727 |
NPI Number | 1255706628 |
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Provider Enumeration Date | 12/10/2015 |
Last Update Date | 07/12/2024 |
Certification Date | 07/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255706628 | NPI | - | NPPES |
1255706628 | Medicaid | IL | |
300083670 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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