MR. Larry Wayne Edwards, BS is a substance abuse rehabilitation facility in Benton Harbor, MI. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MR. Larry Wayne Edwards, BS NPI is 1184375016. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1022 E MAIN ST
BENTON HARBOR, MI
ZIP 49022-036
Phone: (269) 926-0015
Fax: (269) 926-0123
The enumeration date for this NPI number is 1/12/2022 and was last updated on 1/12/2022.