GREAT LAKES BEHAVIORAL SERVICES

SOUTH BEND, IN
NPI1144818295
Entity TypeOrganization
Authorized ContactSHANTI BRADLEY
Co Clinical Director
574-393-9955
Organization Subpart ?No
Primary Taxonomy103K00000X Behavior Analyst
Enumeration Date2021-01-05
Last Update Date2021-06-28
Business Address
GREAT LAKES BEHAVIORAL SERVICES
701 N NILES AVE
SOUTH BEND, IN 46617-1923
Phone number: 574-393-9955
Mailing Address
GREAT LAKES BEHAVIORAL SERVICES
701 N NILES AVE STE OP102
SOUTH BEND, IN 46617-1923
Phone number: 574-393-9955
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