| NPI | 1962001479 |
|---|---|
| Doing Business As | BLUEPRINT FOR SUCCESS LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL WARD Owner 937-723-0142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 174200000X | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 261QP2400X Clinic/Center, Prison Health | |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |