| NPI | 1679201271 |
|---|---|
| Doing Business As | SANFORD BEHAVIORAL HEALTH OUTPATIENT LLC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ROBINSON Credentialing & Contracting Manager 616-520-9074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-29 |