| NPI | 1548858160 |
|---|---|
| Former Legal Business Name | SPECTRUM BEHAVIORAL SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | AMANDA DORMAN Owner 574-855-3571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2021-01-08 |