| NPI | 1780556126 |
|---|---|
| Doing Business As | BLUE RIVER CLINICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | COURTNEY JAMES DONALD Owner 540-470-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 1041C0700X Social Worker, Clinical | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-09-23 |