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GREAT LAKES BEHAVIOR MANAGEMENT SPECIALISTS INC. NPI 1891346441


NPI Information

NPI: 1891346441
Provider Name: GREAT LAKES BEHAVIOR MANAGEMENT SPECIALISTS, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
6910 N MAIN ST UNIT 13
GRANGER, IN
ZIP 46530
Phone: (574) 231-6766
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GREAT LAKES BEHAVIOR MANAGEMENT SPECIALISTS, INC. is a mental health (including community mental health center) clinic center in Granger, IN. GREAT LAKES BEHAVIOR MANAGEMENT SPECIALISTS, INC. NPI is 1891346441. The provider is registered as an organization entity type.

The provider's business location address is:

6910 N MAIN ST UNIT 13
GRANGER, IN
ZIP 46530-681
Phone: (574) 231-6766
Fax: (833) 249-2411

The provider's authorized official is David M Groff .
The authorized official title is President and has the following contact phone number (574) 231-6766.

The enumeration date for this NPI number is 9/25/2019 and was last updated on 9/25/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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