| NPI | 1972002111 |
|---|---|
| Other Name | LLC BEHAVIOR SERVICES |
| Entity Type | Organization |
| Authorized Contact | LARRY MITCHELL Executive Director Program Manager 616-633-3700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-00112) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |